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General NPI Number Information
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NPI Number | 1982615472
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Entity Type | Organization
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Legal Business Name | YANCO PHARMACY INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 806 S ATLANTIC BLVD STE D
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City | MONTEREY PARK
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State | CA
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Zip | 91754-4714
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Country | US
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Telephone | 818-282-2956
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Fax | 626-282-1661
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Provider Business Mailing Address
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Address Line | 806 S ATLANTIC BLVD STE D
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City | MONTEREY PARK
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State | CA
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Zip | 91754-4714
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TOM YANG
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Credential |
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Telephone | 626-282-2956
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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 | PHY34856
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License Number State | CA
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