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General NPI Number Information
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NPI Number | 1700263480
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Entity Type | Organization
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Legal Business Name | DEV PHARMA INC
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 731 INDIAN HILL BLVD
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City | POMONA
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State | CA
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Zip | 91767-5305
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Country | US
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Telephone | 909-764-3060
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Fax | 909-764-3061
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Provider Business Mailing Address
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Address Line | 731 INDIAN HILL BLVD
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City | POMONA
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State | CA
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Zip | 91767-5305
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Country | US
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Telephone | 909-764-3060
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Fax | 909-764-3061
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | MR. GOPAL D SOJITRA
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Credential | RPH
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Telephone | 909-764-3060
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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 | PHY 53330
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License Number State | CA
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Taxonomy #2
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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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