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NPI 1629958806

NPI 1629958806 : CLINICAL CARE PHARMACY PC : TARZANA, CA

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General NPI Number Information
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    NPI Number           |    1629958806
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLINICAL CARE PHARMACY PC 
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Dates
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    Enumeration Date     |    09/06/2025
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    6220 CALVIN AVE 
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    City                 |    TARZANA
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    State                |    CA
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    Zip                  |    91335-6534
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    Country              |    US
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    Telephone            |    310-909-6764
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6220 CALVIN AVE 
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    City                 |    TARZANA
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    State                |    CA
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    Zip                  |    91335-6534
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    Country              |    US
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    Telephone            |    310-909-6764
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHARMACIST
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    Name                 |    DR. PARVIN  MESBAH 
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    Credential           |    PHARM D
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    Telephone            |    310-909-6764
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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       |    
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    License Number State |    
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