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General NPI Number Information
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NPI Number | 1982919478
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Entity Type | Organization
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Legal Business Name | HARBOR HEALTHY LIVING PHARMACY INC
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 646 S HARBOR BLVD
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City | SANTA ANA
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State | CA
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Zip | 92704-1384
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Country | US
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Telephone | 714-531-8080
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Fax | 714-531-9090
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Provider Business Mailing Address
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Address Line | 646 S HARBOR BLVD
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City | SANTA ANA
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State | CA
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Zip | 92704-1384
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Country | US
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Telephone | 714-531-8080
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Fax | 714-531-9090
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Authorized Official
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Title or Position | PRESIDENT/ PIC
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Name | MR. THINH HUNG TRAN
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Credential | PHARM D
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Telephone | 714-531-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY 50369
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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 | PHY 50369
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License Number State | CA
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