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General NPI Number Information
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NPI Number | 1912388604
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Entity Type | Organization
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Legal Business Name | PHARMEDQUEST PHARMACY SERVICES
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 1555 S GAREY AVE
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City | POMONA
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State | CA
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Zip | 91766-5222
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Country | US
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Telephone | 626-869-2472
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Fax | 626-869-2473
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Provider Business Mailing Address
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Address Line | 10604 COURSEY BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-4015
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Country | US
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Telephone | 714-599-8181
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Fax | 714-599-8242
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Authorized Official
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Title or Position | LICENSING & CREDENTIALING COORDINAT
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Name | MS. DALILA IBARRA
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Credential |
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Telephone | 657-286-7957
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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 | 53303
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License Number State | CA
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