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General NPI Number Information
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NPI Number | 1730443839
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Entity Type | Organization
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Legal Business Name | KHM PHARMACEUTICAL INC
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 232 CAJON ST STE A
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City | REDLANDS
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State | CA
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Zip | 92373-5216
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Country | US
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Telephone | 909-792-4922
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Fax | 909-792-4822
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Provider Business Mailing Address
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Address Line | 232 CAJON ST STE A
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City | REDLANDS
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State | CA
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Zip | 92373-5216
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Country | US
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Telephone | 909-792-4922
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Fax | 909-792-4822
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Authorized Official
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Title or Position | OWNER / PIC
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Name | KHALID MAHFOUZ
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Credential | RPH
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Telephone | 909-792-4922
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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 | PHY51038
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License Number State | CA
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