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General NPI Number Information
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NPI Number | 1912216268
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Entity Type | Organization
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Legal Business Name | P & H PHARMACY INC
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 861 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90813-3550
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Country | US
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Telephone | 562-218-8810
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Fax | 562-218-8815
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Provider Business Mailing Address
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Address Line | PO BOX 3856
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92605-3856
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Country | US
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Telephone | 714-717-1894
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Fax | 714-842-5350
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Authorized Official
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Title or Position | OWNER / PRES / PIC
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Name | THAO MAI
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Credential | RPH
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Telephone | 714-717-1894
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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 | PHY 50464
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License Number State | CA
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