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General NPI Number Information
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NPI Number | 1760517593
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Entity Type | Organization
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Legal Business Name | APPLIED PHARMACY SERVIVES, LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 2620 E COLORADO BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3746
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Country | US
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Telephone | 626-795-3555
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Fax | 626-795-3553
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Provider Business Mailing Address
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Address Line | 2620 E COLORADO BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3746
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Country | US
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Telephone | 626-795-3555
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Fax | 626-795-3553
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. TIMOTHY ANTHONY LOPEZ
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Credential | PHARM.D.
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Telephone | 626-795-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY48340
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License Number State | CA
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