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General NPI Number Information
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NPI Number | 1750904744
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Entity Type | Organization
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Legal Business Name | LIEN FAMILY PHARMACY CORPORATION
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Dates
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Enumeration Date | 05/25/2020
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 3637 EUREKA WAY
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City | REDDING
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State | CA
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Zip | 96001-0177
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Country | US
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Telephone | 714-329-6455
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Fax |
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Provider Business Mailing Address
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Address Line | 3637 EUREKA WAY
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City | REDDING
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State | CA
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Zip | 96001-0177
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Country | US
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Telephone | 530-768-1319
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Fax | 530-768-1321
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Authorized Official
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Title or Position | CEO, PIC
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Name | MR. ANDREW VAN LIEN
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Credential | PHARM.D
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Telephone | 530-768-1319
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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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