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General NPI Number Information
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NPI Number | 1780546911
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Entity Type | Organization
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Legal Business Name | PICO RIVERA PHARMACY INC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 9325 WHITTIER BLVD
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City | PICO RIVERA
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State | CA
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Zip | 90660-2746
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Country | US
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Telephone | 562-574-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 9325 WHITTIER BLVD
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City | PICO RIVERA
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State | CA
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Zip | 90660-2746
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Country | US
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Telephone | 562-574-8020
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Fax | 562-574-8021
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Authorized Official
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Title or Position | OWNER
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Name | IN IL KIM
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Credential |
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Telephone | 760-625-9967
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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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