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General NPI Number Information
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NPI Number | 1699447268
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Entity Type | Organization
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Legal Business Name | BOLSA CARE PHARMACY INC
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 9550 BOLSA AVE STE 109
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City | WESTMINSTER
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State | CA
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Zip | 92683-5944
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Country | US
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Telephone | 714-884-4742
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Fax | 714-884-4755
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Provider Business Mailing Address
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Address Line | 9550 BOLSA AVE STE 109
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City | WESTMINSTER
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State | CA
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Zip | 92683-5944
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Country | US
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Telephone | 714-884-4742
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Fax | 714-884-4755
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Authorized Official
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Title or Position | CEO/SEC/CFO/DIRECTOR
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Name | DR. CUONG Q HO
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Credential | PHARMD
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Telephone | 408-394-4835
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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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