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General NPI Number Information
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NPI Number | 1992126205
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Entity Type | Organization
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Legal Business Name | MEDCOMPOUNDERS PHARMACY INC
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Dates
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Enumeration Date | 01/04/2014
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 3855 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-3315
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Country | US
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Telephone | 562-427-1999
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Fax | 562-427-2999
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Provider Business Mailing Address
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Address Line | 3855 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-3315
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Country | US
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Telephone | 562-427-1999
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Fax | 562-427-2999
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Authorized Official
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Title or Position | CEO /PHARMACIST
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Name | MISS DEBORA B MARKZAR
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Credential | PHARMD
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Telephone | 310-666-3987
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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 | 51696
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License Number State | CA
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