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General NPI Number Information
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NPI Number | 1679866057
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Entity Type | Organization
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Legal Business Name | PNR PHARMA INC.
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 14541 BROOKHURST ST STE C5
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City | WESTMINSTER
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State | CA
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Zip | 92683-5784
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Country | US
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Telephone | 714-775-2000
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Fax | 714-775-2002
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Provider Business Mailing Address
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Address Line | 14541 BROOKHURST ST STE C5
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City | WESTMINSTER
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State | CA
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Zip | 92683-5784
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Country | US
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Telephone | 714-775-2000
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Fax | 714-775-2002
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. JULIE NGUYEN
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Credential |
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Telephone | 714-775-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 50647
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License Number State | CA
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