MEDICARE: ALBERT JUE RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26455	CA

General Provider Information

NPI Number	:	1811271349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT JUE RPH

Provider Business Mailing Address
First Line	:	9351 CLIFFWOOD DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-4729
Country	:	US
Telephone Number	:	714-968-4266
Fax Number	:

Provider Business Practice Location Address
First Line	:	19501 BEACH BLVD
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-2902
Country	:	US
Telephone Number	:	714-969-1368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2011
Last Update Date	:	10/04/2011

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