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General NPI Number Information
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NPI Number | 1750667986
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Entity Type | Organization
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Legal Business Name | FOUR SEASONS PHARMACY INC
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 7872 WALKER ST STE 106
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City | LA PALMA
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State | CA
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Zip | 90623-1748
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Country | US
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Telephone | 714-690-0349
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Fax | 714-509-1278
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Provider Business Mailing Address
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Address Line | 7872 WALKER ST STE 106
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City | LA PALMA
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State | CA
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Zip | 90623-1748
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Country | US
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Telephone | 714-690-0349
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Fax | 714-509-1278
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Authorized Official
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Title or Position | CEO
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Name | NATHAN LAM
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Credential |
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Telephone | 714-690-0349
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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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