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General NPI Number Information
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NPI Number | 1740984459
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Entity Type | Organization
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Legal Business Name | VIPRX PHARMACY LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 09/14/2024
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Provider Practice Location Address
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Address Line | 9312 VALLEY BLVD STE 102
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City | ROSEMEAD
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State | CA
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Zip | 91770-1979
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Country | US
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Telephone | 877-898-0472
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Fax |
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Provider Business Mailing Address
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Address Line | 9312 VALLEY BLVD STE 102
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City | ROSEMEAD
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State | CA
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Zip | 91770-1979
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER OF VIP HEALTH MANAGE
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Name | DEE DEE LE-TROIANI
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Credential |
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Telephone | 714-341-9820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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