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General NPI Number Information
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NPI Number | 1881194389
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Entity Type | Organization
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Legal Business Name | SAMSUNG CARE PHARMACY INC
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 2717 W OLYMPIC BLVD STE 105
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City | LOS ANGELES
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State | CA
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Zip | 90006-2642
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Country | US
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Telephone | 213-263-2036
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Fax | 213-263-2051
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Provider Business Mailing Address
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Address Line | 2717 W OLYMPIC BLVD STE 105
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City | LOS ANGELES
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State | CA
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Zip | 90006-2642
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Country | US
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Telephone | 213-263-2036
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Fax | 213-263-2051
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Authorized Official
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Title or Position | PRESIDENT
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Name | INAE OH
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Credential |
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Telephone | 213-361-5929
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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 | PHY56071
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License Number State | CA
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