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General NPI Number Information
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NPI Number | 1841940780
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Entity Type | Organization
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Legal Business Name | TRUCARE PHARMACY CORPORATION
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 3110 CHINO AVE STE 100
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City | CHINO HILLS
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State | CA
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Zip | 91709-1294
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Country | US
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Telephone | 909-585-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 3110 CHINO AVE STE 100
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City | CHINO HILLS
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State | CA
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Zip | 91709-1294
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Country | US
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Telephone | 909-300-0365
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Fax | 909-707-6008
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Authorized Official
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Title or Position | PRESIDENT
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Name | XIAOXI WANG
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Credential |
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Telephone | 425-240-8399
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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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