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General NPI Number Information
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NPI Number | 1811085533
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Entity Type | Organization
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Legal Business Name | PHURANDA INC.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 15721 BERNARDO HEIGHTS PKWY
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City | SAN DIEGO
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State | CA
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Zip | 92128-3176
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Country | US
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Telephone | 858-451-2611
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Fax | 858-451-6324
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Provider Business Mailing Address
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Address Line | 15721 BERNARDO HEIGHTS PKWY
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City | SAN DIEGO
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State | CA
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Zip | 92128-3176
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Country | US
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Telephone | 858-451-2611
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Fax | 858-451-6324
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | MR. ARAM KALEO PENARANDA
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Credential | PHARM D.
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Telephone | 858-451-2611
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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 | PHY49014
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License Number State | CA
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