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General NPI Number Information
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NPI Number | 1922154491
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Entity Type | Organization
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Legal Business Name | C&A PHARMACEUTICAL ENTERPRISES-CA LLC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 31852 PACIFIC COAST HWY STE 103
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City | LAGUNA BEACH
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State | CA
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Zip | 92651
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Country | US
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Telephone | 949-499-0885
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Fax | 949-499-3645
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Provider Business Mailing Address
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Address Line | 31852 PACIFIC COAST HWY STE 103
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City | LAGUNA BEACH
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State | CA
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Zip | 92651
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Country | US
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Telephone | 949-499-0885
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Fax | 949-499-3645
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY DOWNING
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Credential |
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Telephone | 469-310-1641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY53370
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License Number State | CA
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