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General NPI Number Information
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NPI Number | 1992598098
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Entity Type | Organization
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Legal Business Name | AUDREY PHARMACY INC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 9822 BOLSA AVE STE G
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City | WESTMINSTER
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State | CA
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Zip | 92683-6870
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Country | US
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Telephone | 714-531-1244
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Fax | 714-531-1246
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Provider Business Mailing Address
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Address Line | 9822 BOLSA AVE STE G
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City | WESTMINSTER
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State | CA
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Zip | 92683-6870
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Country | US
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Telephone | 714-531-1244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUDREY VU
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Credential |
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Telephone | 714-531-1983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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