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General NPI Number Information
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NPI Number | 1801140785
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Entity Type | Organization
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Legal Business Name | NEWHALL PHARMACY INC
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 24239 MAIN ST
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City | NEWHALL
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State | CA
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Zip | 91321-2907
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Country | US
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Telephone | 661-799-7017
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Fax | 661-799-7021
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Provider Business Mailing Address
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Address Line | 24239 MAIN STREET
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City | NEWHALL
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State | CA
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Zip | 91321
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Country | US
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Telephone | 661-799-7017
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Fax | 661-799-7021
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENISA CHOWDHURY
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Credential |
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Telephone | 661-816-8468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 54078
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License Number State | CA
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