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General NPI Number Information
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NPI Number | 1831116664
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Entity Type | Organization
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Legal Business Name | KING PHARMACY LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/21/2008
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Provider Practice Location Address
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Address Line | 1200 S JACKSON ST STE 2
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City | SEATTLE
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State | WA
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Zip | 98144-2026
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Country | US
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Telephone | 206-328-6101
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Fax | 206-328-6488
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Provider Business Mailing Address
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Address Line | 1200 S JACKSON ST STE 2
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City | SEATTLE
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State | WA
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Zip | 98144-2026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROL NGUYEN
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Credential |
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Telephone | 206-328-6101
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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 | CF00058681
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License Number State | WA
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