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General NPI Number Information
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NPI Number | 1972615961
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Entity Type | Organization
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Legal Business Name | C D HEALTHCARE INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 500 N GARFIELD AVE STE 103
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1242
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Country | US
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Telephone | 626-288-6120
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Fax | 626-288-2076
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Provider Business Mailing Address
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Address Line | 500 N GARFIELD AVE STE 103
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1242
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Country | US
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Telephone | 626-288-6120
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Fax | 626-288-2076
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Authorized Official
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Title or Position | CEO
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Name | JAMIE POON
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Credential |
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Telephone | 626-288-6120
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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 |
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License Number State |
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