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General NPI Number Information
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NPI Number | 1952532194
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Entity Type | Organization
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Legal Business Name | REGIONAL PHARMACY INC.
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 200 JOSE FIGUERES AVE STE 235
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City | SAN JOSE
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State | CA
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Zip | 95116-1599
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Country | US
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Telephone | 408-254-8884
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Fax | 408-254-8885
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Provider Business Mailing Address
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Address Line | 200 JOSE FIGUERES AVE STE 235
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City | SAN JOSE
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State | CA
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Zip | 95116-1599
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Country | US
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Telephone | 408-254-8884
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Fax | 408-254-8885
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/PRESIDENT
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Name | PHI TIEN NGUYEN
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Credential | PHARMD
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Telephone | 468-254-8884
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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 | PHY49878
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License Number State | CA
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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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