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General NPI Number Information
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NPI Number | 1700932118
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Entity Type | Organization
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Legal Business Name | CHEMIQUE PHARMACEUTICALS, INC.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 176 UNIVERSITY PKWY
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City | POMONA
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State | CA
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Zip | 91768-4300
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Country | US
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Telephone | 909-598-1010
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Fax | 909-594-4205
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Provider Business Mailing Address
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Address Line | PO BOX 4369
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City | WHITTIER
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State | CA
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Zip | 90607-4369
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Country | US
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Telephone | 562-698-0921
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Fax | 562-693-6112
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHIL LOWELL MILLMAN
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Credential | PHARM.D.
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Telephone | 562-698-0921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHA33675
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License Number State | CA
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