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General NPI Number Information
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NPI Number | 1669698742
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Entity Type | Organization
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Legal Business Name | AUDREY PHARMACY INC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 9741 BOLSA AVE STE# 116
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City | WESTMINSTER
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State | CA
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Zip | 92683-6601
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Country | US
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Telephone | 714-531-1983
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Fax | 714-531-1989
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Provider Business Mailing Address
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Address Line | 12641 WYNANT DR
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City | GARDEN GROVE
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State | CA
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Zip | 92841-4440
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Country | US
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Telephone | 714-531-1983
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. AUDREY NGOCDAO VU
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Credential | PHARM. D
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Telephone | 714-531-1983
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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 | 48557
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License Number State | CA
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