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General NPI Number Information
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NPI Number | 1841382777
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Entity Type | Organization
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Legal Business Name | CHINATOWN PHARMACY
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 70 N HOTEL ST
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City | HONOLULU
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State | HI
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Zip | 96817-5105
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Country | US
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Telephone | 808-533-6288
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Fax | 808-533-6288
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Provider Business Mailing Address
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Address Line | 70 N HOTEL ST
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City | HONOLULU
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State | HI
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Zip | 96817-5105
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Country | US
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Telephone | 808-533-6288
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Fax | 808-533-6288
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANH TAN VO
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Credential | PHARMACIST
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Telephone | 808-533-6288
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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-439
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License Number State | HI
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