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General NPI Number Information
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NPI Number | 1912896747
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Entity Type | Organization
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Legal Business Name | PRIME RX CHINO HILLS INC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 2947 CHINO AVE STE D2
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City | CHINO HILLS
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State | CA
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Zip | 91709-3585
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Country | US
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Telephone | 626-978-8666
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Fax | 213-808-5918
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Provider Business Mailing Address
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Address Line | 2947 CHINO AVE STE D2
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City | CHINO HILLS
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State | CA
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Zip | 91709-3585
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FANGYU CHEN
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Credential |
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Telephone | 626-978-8666
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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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