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General NPI Number Information
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NPI Number | 1629064860
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Entity Type | Organization
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Legal Business Name | T5 PHARMACY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 450 E HUNTINGTON DR STE 1110
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City | ARCADIA
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State | CA
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Zip | 91006-3748
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Country | US
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Telephone | 626-445-9100
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Fax | 626-445-1724
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Provider Business Mailing Address
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Address Line | 450 E HUNTINGTON DR STE 1110
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City | ARCADIA
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State | CA
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Zip | 91006-3748
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Country | US
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Telephone | 626-445-9100
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Fax | 626-445-1724
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Authorized Official
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Title or Position | OWNER/ PHARMACIST IN CHARGE
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Name | DR. ROBERT TERASAWA
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Credential | PHARM. D.
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Telephone | 626-445-9100
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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 | 37268
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License Number State | CA
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