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General NPI Number Information
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NPI Number | 1699023218
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Entity Type | Organization
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Legal Business Name | S O PHARMACY INC
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 4520 VAN NUYS BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2913
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Country | US
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Telephone | 818-990-4500
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Fax | 818-990-7300
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Provider Business Mailing Address
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Address Line | 4520 VAN NUYS BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2913
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Country | US
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Telephone | 818-990-4500
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Fax | 818-990-7300
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | FARZAD FARKHANI
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Credential |
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Telephone | 818-990-4500
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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