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General NPI Number Information
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NPI Number | 1700676681
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Entity Type | Organization
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Legal Business Name | LUX PHARMACY INC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2107 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90011-1125
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Country | US
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Telephone | 213-441-7771
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Fax | 213-441-7772
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Provider Business Mailing Address
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Address Line | 2107 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90011-1125
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Country | US
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Telephone | 213-441-7771
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Fax | 213-441-7772
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Authorized Official
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Title or Position | OWNER
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Name | FARBOD SHAHRI
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Credential | RPH
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Telephone | 310-358-2400
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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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