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General NPI Number Information
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NPI Number | 1912561531
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Entity Type | Organization
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Legal Business Name | LINDA RX PHARMACY INC
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 1569 LEXANN AVE STE 130
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City | SAN JOSE
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State | CA
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Zip | 95121-1794
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Country | US
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Telephone | 408-270-2702
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Fax | 408-270-2092
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Provider Business Mailing Address
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Address Line | 1569 LEXANN AVE STE 130
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City | SAN JOSE
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State | CA
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Zip | 95121-1794
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Country | US
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Telephone | 408-270-2702
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Fax | 408-270-2092
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA PHUONG
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Credential | PHARM.D.
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Telephone | 408-270-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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