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NPI 1902895766

NPI 1902895766 : PNS PHARMA INC : GARDEN GROVE, CA

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General NPI Number Information
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    NPI Number           |    1902895766
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    Entity Type          |    Organization 
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    Legal Business Name  |    PNS PHARMA INC 
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Dates
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    Enumeration Date     |    10/14/2005
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    Last Update Date     |    12/26/2025
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Provider Practice Location Address
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    Address Line         |    14384 BROOKHURST ST 
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    City                 |    GARDEN GROVE
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    State                |    CA
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    Zip                  |    92843-4608
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    Country              |    US
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    Telephone            |    714-531-1740
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    Fax                  |    714-531-9624
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Provider Business Mailing Address
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    Address Line         |    14384 BROOKHURST ST 
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    City                 |    GARDEN GROVE
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    State                |    CA
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    Zip                  |    92843-4608
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    Country              |    US
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    Telephone            |    714-531-1740
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    Fax                  |    714-531-9624
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Authorized Official
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    Title or Position    |    RPH
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    Name                 |     NGOC  VU 
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    Credential           |    
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    Telephone            |    714-531-1740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    PHY51222
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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    License Number       |    
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    License Number State |    
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