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General NPI Number Information
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NPI Number | 1780836882
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Entity Type | Organization
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Legal Business Name | FOX HILLS PHARMACY INC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 323 N PRAIRIE AVE STE 100
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City | INGLEWOOD
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State | CA
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Zip | 90301-4502
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Country | US
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Telephone | 310-671-7100
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Fax | 310-671-0402
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Provider Business Mailing Address
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Address Line | 4455 W 117TH ST STE 101
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City | HAWTHORNE
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State | CA
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Zip | 90250-2241
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Country | US
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Telephone | 310-649-3774
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Fax | 310-649-3720
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARGO SOBOL
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Credential |
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Telephone | 310-649-3774
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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 | 49268
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License Number State | CA
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