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General NPI Number Information
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NPI Number | 1720678675
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Entity Type | Organization
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Legal Business Name | HARBOR HEALTHY LIVING PHARMACY INC
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 5015 W EDINGER AVE STE B
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City | SANTA ANA
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State | CA
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Zip | 92704-1968
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Country | US
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Telephone | 657-247-0851
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Fax | 657-247-0481
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Provider Business Mailing Address
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Address Line | 5015 W EDINGER AVE STE B
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City | SANTA ANA
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State | CA
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Zip | 92704-1968
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Country | US
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Telephone | 657-247-0851
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Fax | 657-247-0481
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. THINH HUNG TRAN
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Credential | PHARM D
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Telephone | 657-247-0851
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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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