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General NPI Number Information
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NPI Number | 1902388697
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Entity Type | Organization
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Legal Business Name | DOWNTOWN PHARMACY INC
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 60 N 13TH ST STE A
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City | SAN JOSE
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State | CA
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Zip | 95112-3525
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Country | US
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Telephone | 408-298-2255
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Fax | 408-298-2555
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Provider Business Mailing Address
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Address Line | 60 N 13TH ST STE A
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City | SAN JOSE
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State | CA
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Zip | 95112-3525
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Country | US
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Telephone | 408-298-2255
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Fax | 408-298-2555
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | DR. DUAN K. NGUYEN
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Credential | PHARM D
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Telephone | 408-309-9223
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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 | CA
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