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General NPI Number Information
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NPI Number | 1952546814
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Entity Type | Organization
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Legal Business Name | WESTLAKE CARE PHARMACY INC
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 32144 AGOURA RD STE 101
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4031
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Country | US
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Telephone | 818-707-2500
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Fax | 818-707-2508
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Provider Business Mailing Address
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Address Line | 32144 AGOURA RD STE 101
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4031
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Country | US
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Telephone | 818-707-2500
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Fax | 818-707-2508
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Authorized Official
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Title or Position | SECRETARY
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Name | ANNETTE RICHMAN
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Credential |
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Telephone | 818-307-6188
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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 | PHY49290
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License Number State | CA
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