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General NPI Number Information
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NPI Number | 1619786019
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Entity Type | Organization
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Legal Business Name | ONNURI PHARMACY INC
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Dates
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Enumeration Date | 01/01/2025
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Last Update Date | 02/02/2025
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Provider Practice Location Address
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Address Line | 520 S VIRGIL AVE STE 102
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City | LOS ANGELES
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State | CA
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Zip | 90020-1425
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Country | US
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Telephone | 213-487-7535
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S GRAND AVE APT 2108
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City | LOS ANGELES
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State | CA
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Zip | 90017-4675
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JONG CHUL LEE
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Credential |
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Telephone | 213-487-7535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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