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General NPI Number Information
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NPI Number | 1639281553
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Entity Type | Organization
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Legal Business Name | PACIFICA PHARMACY
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 18682 BEACH BLVD STE 115
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2048
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Country | US
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Telephone | 714-887-9500
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Fax | 714-887-9400
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Provider Business Mailing Address
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Address Line | 18682 BEACH BLVD STE 115
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2048
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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 | RPH
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Name | FRANK TRAN
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Credential |
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Telephone | 714-887-9500
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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 | PHY46715
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License Number State | CA
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