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General NPI Number Information
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NPI Number | 1841324555
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Entity Type | Organization
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Legal Business Name | ECONO DRUGS INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 2327 FOOTHILL BLVD
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City | LA VERNE
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State | CA
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Zip | 91750-3027
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Country | US
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Telephone | 909-596-1991
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Fax | 909-392-1338
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Provider Business Mailing Address
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Address Line | 2327 FOOTHILL BLVD
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City | LA VERNE
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State | CA
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Zip | 91750-3027
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Country | US
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Telephone | 909-596-1991
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Fax | 909-392-1338
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Authorized Official
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Title or Position | PRESIDENT AND PHARM IN CHARGE
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Name | FREDERICK CHAN
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Credential |
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Telephone | 909-802-8868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY43599
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License Number State | CA
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