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General NPI Number Information
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NPI Number | 1770817603
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Entity Type | Organization
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Legal Business Name | SAIGON PHARMACY
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 210 N JACKSON AVE STE 10
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City | SAN JOSE
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State | CA
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Zip | 95116-1621
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Country | US
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Telephone | 408-218-3696
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Fax | 408-516-9849
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Provider Business Mailing Address
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Address Line | 210 N JACKSON AVE STE 10
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City | SAN JOSE
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State | CA
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Zip | 95116-1621
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Country | US
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Telephone | 408-218-3696
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Fax | 408-516-9849
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HOAI-AN TON-NU
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Credential | REGISTERED PHARMACIS
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Telephone | 408-218-3696
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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 | PHY 38176
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License Number State | CA
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