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General NPI Number Information
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NPI Number | 1871682104
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Entity Type | Organization
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Legal Business Name | KENT PHARMACY INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 707 N ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-4005
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Country | US
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Telephone | 213-413-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 707 N ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-4005
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Country | US
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Telephone | 213-413-7744
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Fax |
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Authorized Official
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Title or Position | PRESIDENT PHARMACIST IN CHARGE
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Name | MS. FEMA MANLANGIT ARCILLA
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Credential | RPH
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Telephone | 213-413-7744
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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 | PHY45004
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License Number State | CA
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