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General NPI Number Information
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NPI Number | 1922447333
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Entity Type | Organization
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Legal Business Name | PARAMOUNT PHARMACY, LLC
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 7200 S 180TH ST STE 104
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City | TUKWILA
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State | WA
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Zip | 98188-5548
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Country | US
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Telephone | 425-251-1660
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Fax | 425-251-1667
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Provider Business Mailing Address
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Address Line | 7200 S 180TH ST SUITE 104
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City | TUKWILA
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State | WA
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Zip | 98188-5548
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Country | US
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Telephone | 425-251-1660
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Fax | 425-251-1667
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Authorized Official
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Title or Position | CEO
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Name | JAE LEE
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Credential |
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Telephone | 425-492-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR.CF.60343425
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License Number State | WA
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