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General NPI Number Information
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NPI Number | 1851161756
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Entity Type | Organization
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Legal Business Name | CORE RX
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 10408 VACCO ST UNIT B
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-3328
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Country | US
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Telephone | 626-522-1801
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Fax | 626-522-1810
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Provider Business Mailing Address
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Address Line | 10408 VACCO ST UNIT B
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-3328
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Country | US
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Telephone | 626-522-1801
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Fax | 626-522-1810
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICKY CHENG
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Credential | RPH
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Telephone | 626-522-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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