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General NPI Number Information
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NPI Number | 1881633782
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Entity Type | Organization
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Legal Business Name | PHARMEDIX INC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 555 S LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91101-3511
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Country | US
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Telephone | 626-792-3156
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Fax | 626-792-8556
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Provider Business Mailing Address
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Address Line | 555 S LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91101-3511
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Country | US
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Telephone | 626-792-3156
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Fax | 626-792-8556
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Authorized Official
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Title or Position | PRESIDENT
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Name | BISI ALAGBE
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Credential |
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Telephone | 626-792-3156
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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 | PHY46502
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY46502
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | PHY46502
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number | PHY46502
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | PHY46502
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PHY46502
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | PHY46502
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHY46502
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License Number State | CA
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