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General NPI Number Information
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NPI Number | 1649700832
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Entity Type | Organization
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Legal Business Name | FIRST STOP RX, INC
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 1577 E CHEVY CHASE DR SUITE 130
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City | GLENDALE
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State | CA
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Zip | 91206-4740
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Country | US
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Telephone | 818-484-5455
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Fax | 818-484-5420
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Provider Business Mailing Address
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Address Line | 1577 E CHEVY CHASE DR SUITE 130
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City | GLENDALE
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State | CA
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Zip | 91206-4740
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Country | US
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Telephone | 818-484-5455
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Fax | 818-484-5420
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Authorized Official
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Title or Position | PRESIDENT/CEO/SECRETARY/DIRECTOR
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Name | MRS. NELLI KHLEBNIKOVA
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Credential |
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Telephone | 818-484-5455
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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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