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General NPI Number Information
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NPI Number | 1821624826
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Entity Type | Organization
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Legal Business Name | MEDCARE FAMILY PHARMACY INC
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Dates
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Enumeration Date | 03/21/2020
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 9143 VALLEY BLVD STE 101B
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City | ROSEMEAD
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State | CA
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Zip | 91770-1993
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Country | US
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Telephone | 714-553-9885
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Fax |
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Provider Business Mailing Address
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Address Line | 9143 VALLEY BLVD STE 101B
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City | ROSEMEAD
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State | CA
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Zip | 91770-1993
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Country | US
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Telephone | 626-872-2113
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Fax | 626-872-1613
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | JIM NGUYEN
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Credential |
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Telephone | 714-728-9624
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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 |
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License Number State |
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