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General NPI Number Information
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NPI Number | 1770017477
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Entity Type | Organization
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Legal Business Name | HANMI PHARMACY
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 325 1/2 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-3804
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Country | US
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Telephone | 213-384-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 325 1/2 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-3804
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Country | US
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Telephone | 626-422-1271
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NAM HONG
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Credential |
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Telephone | 213-384-3302
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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 | PHY55580
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License Number State | CA
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