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General NPI Number Information
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NPI Number | 1902711534
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Entity Type | Organization
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Legal Business Name | LUCERNE PHARMACY1ST LLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 6244 E HIGHWAY 20
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City | LUCERNE
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State | CA
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Zip | 95458
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Country | US
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Telephone | 707-274-6643
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1316
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City | LUCERNE
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State | CA
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Zip | 95458-1316
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Country | US
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Telephone | 707-274-6643
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Fax |
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Authorized Official
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Title or Position | PHARMACY OPS
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Name | HEE RYOUNG CHOI
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Credential |
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Telephone | 914-650-4124
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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 |
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