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General NPI Number Information
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NPI Number | 1003984030
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL PHARMACIES
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 PAREDAS LINE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-546-3741
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Fax | 956-546-5254
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Provider Business Mailing Address
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Address Line | 500 PAREDAS LINE RD SUITE #8
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-546-3741
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Fax | 956-546-5254
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. JOSE ROLANDO OLVERA SR.
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Credential | PHARMACIST
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Telephone | 956-546-3741
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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 | 16122
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License Number State | TX
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