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General NPI Number Information
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NPI Number | 1912032541
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Entity Type | Organization
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Legal Business Name | WELCOME PHARMACY INC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 15932 HALLIBURTON RD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-3505
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Country | US
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Telephone | 626-369-6286
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Fax | 626-369-5284
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Provider Business Mailing Address
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Address Line | 15932 HALLIBURTON RD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-3505
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Country | US
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Telephone | 626-369-6286
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Fax | 626-369-5284
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Authorized Official
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Title or Position | PHARMACIST
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Name | KOWEN LEE
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Credential |
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Telephone | 562-860-6336
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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 | PHY45824
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License Number State | CA
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