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General NPI Number Information
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NPI Number | 1861548976
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Entity Type | Organization
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Legal Business Name | PHARMACY 801, INC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 801 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3612
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Country | US
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Telephone | 714-547-3949
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Fax | 714-547-3244
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Provider Business Mailing Address
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Address Line | 801 N TUSTIN AVE STE 100
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City | SANTA ANA
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State | CA
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Zip | 92705-3607
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Country | US
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Telephone | 714-547-3949
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Fax | 714-547-3244
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Authorized Official
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Title or Position | CEO
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Name | VIRGINIA YEE
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Credential | RPH
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Telephone | 714-547-3949
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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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