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General NPI Number Information
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NPI Number | 1619859535
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Entity Type | Organization
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Legal Business Name | SKY NEAK PHARMACY INC.
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1515 W MERCED AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3403
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Country | US
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Telephone | 626-962-3685
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Fax | 626-962-3686
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Provider Business Mailing Address
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Address Line | 1515 W MERCED AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3403
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Country | US
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Telephone | 626-962-3685
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Fax | 626-962-3686
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Authorized Official
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Title or Position | OWNER
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Name | ALLISON SOU
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Credential | PHARM.D.
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Telephone | 626-962-3685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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