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General NPI Number Information
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NPI Number | 1760171078
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Entity Type | Organization
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Legal Business Name | OASIS PHARMACY LLC
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 2650 E VINEYARD AVE
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City | OXNARD
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State | CA
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Zip | 93036-1615
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Country | US
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Telephone | 805-919-0055
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Fax | 805-919-0101
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Provider Business Mailing Address
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Address Line | 2650 E VINEYARD AVE
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City | OXNARD
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State | CA
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Zip | 93036-1615
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Country | US
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Telephone | 805-919-0055
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Fax | 805-919-0101
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Authorized Official
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Title or Position | OWNER
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Name | SORA YOON
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Credential | PHARMD
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Telephone | 805-919-0055
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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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