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General NPI Number Information
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NPI Number | 1821494576
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Entity Type | Organization
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Legal Business Name | LA DRUGS INC
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 4233 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90807
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Country | US
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Telephone | 562-912-7940
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Fax | 562-912-7944
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Provider Business Mailing Address
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Address Line | 4233 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90807
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Country | US
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Telephone | 562-912-7940
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Fax | 562-912-7944
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | MR. AMITKUMAR N THAKKAR
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Credential | PHARM D
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Telephone | 562-912-7940
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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 | PHY 52020
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License Number State | CA
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