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General NPI Number Information
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NPI Number | 1689789315
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Entity Type | Organization
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Legal Business Name | SNP PHARMACY LLC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 16666 E JOHNSON DR SUITE C
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91745-2412
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Country | US
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Telephone | 626-820-5814
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Fax | 626-820-5815
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Provider Business Mailing Address
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Address Line | 16666 E JOHNSON DR SUITE C
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91745-2412
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Country | US
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Telephone | 626-820-5814
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Fax | 626-820-5815
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Authorized Official
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Title or Position | BUSS. OFFICE MGR
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Name | MEL MENDOZA RAMOS
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Credential |
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Telephone | 626-820-5814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY49972
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License Number State | CA
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