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General NPI Number Information
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NPI Number | 1619019593
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Entity Type | Organization
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Legal Business Name | ASHLEY & J PHARMACY CORP
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1818 S WESTERN AVE 100
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City | LOS ANGELES
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State | CA
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Zip | 90006-5807
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Country | US
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Telephone | 323-731-8304
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Fax | 323-731-0158
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Provider Business Mailing Address
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Address Line | 1818 S WESTERN AVE 100
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City | LOS ANGELES
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State | CA
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Zip | 90006-5807
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Country | US
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Telephone | 323-731-8304
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Fax | 323-731-0158
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. SEUNG YOL KIM
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Credential | PHARMACY
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Telephone | 323-731-8304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH 40147
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License Number State | CA
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