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General NPI Number Information
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NPI Number | 1780369538
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Entity Type | Organization
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Legal Business Name | NOLAN LE PHARMD, INC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 4425 47TH ST
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City | SAN DIEGO
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State | CA
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Zip | 92115-4516
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Country | US
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Telephone | 858-208-3688
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Fax | 858-201-3835
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Provider Business Mailing Address
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Address Line | 4425 47TH ST
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City | SAN DIEGO
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State | CA
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Zip | 92115-4516
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Country | US
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Telephone | 858-208-3688
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Fax | 858-201-3835
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | NOLAN LE
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Credential | PHARM.D.
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Telephone | 858-610-7501
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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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