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General NPI Number Information
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NPI Number | 1922291491
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Entity Type | Organization
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Legal Business Name | MEDLINK PHARMACEUTICAL SERVICES, INC.
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Dates
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Enumeration Date | 08/19/2007
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Last Update Date | 08/19/2007
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Provider Practice Location Address
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Address Line | 5217 BURBERRY CT
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City | ELK GROVE
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State | CA
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Zip | 95757-3297
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Country | US
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Telephone | 916-479-5728
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Fax | 916-690-8225
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Provider Business Mailing Address
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Address Line | 5217 BURBERRY CT
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City | ELK GROVE
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State | CA
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Zip | 95757-3297
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Country | US
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Telephone | 916-479-5728
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Fax | 916-690-8225
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRENT Q. LUU
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Credential | PHARM.D.
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Telephone | 916-479-5728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 09-00006418
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License Number State | CA
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