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General NPI Number Information
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NPI Number | 1821014986
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Entity Type | Organization
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Legal Business Name | HORNG, INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 4052 PIONEER PKWY STE 111
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City | WEST VALLEY CITY
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State | UT
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Zip | 84120-2063
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Country | US
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Telephone | 801-964-3935
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Fax | 801-964-3934
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Provider Business Mailing Address
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Address Line | 4052 PIONEER PKWY STE 111
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City | WEST VALLEY CITY
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State | UT
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Zip | 84120-2063
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Country | US
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Telephone | 801-964-3935
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Fax | 801-964-3934
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MS. WAN-JEN HORNG
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Credential | PHARM D.
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Telephone | 801-964-3935
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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 | 5004123-1703
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License Number State | UT
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