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General NPI Number Information
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NPI Number | 1871410308
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Entity Type | Organization
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Legal Business Name | EAST WEST RX COMP LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 3100 BRECKINRIDGE BLVD STE 410
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City | DULUTH
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State | GA
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Zip | 30096-7507
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Country | US
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Telephone | 770-821-8002
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 BRECKINRIDGE BLVD STE 410
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City | DULUTH
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State | GA
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Zip | 30096-7507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | JOSHUA NGUYEN
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Credential |
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Telephone | 770-669-3586
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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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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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