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General NPI Number Information
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NPI Number | 1881718195
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Entity Type | Organization
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Legal Business Name | LONG BEACH PRESCRIPTION PHARMACY 2
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2632 PACIFIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-2611
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Country | US
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Telephone | 562-997-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 2632 PACIFIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-2611
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Country | US
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Telephone | 562-997-2580
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. TOAN THAI
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Credential | RPH
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Telephone | 562-997-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY45765
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License Number State | CA
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