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General NPI Number Information
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NPI Number | 1013457597
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Entity Type | Organization
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Legal Business Name | CALVARY PHARMACEUTICAL SERVICES LLC
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 17115 RED OAK DR STE 105
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City | HOUSTON
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State | TX
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Zip | 77090-2607
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Country | US
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Telephone | 346-323-6161
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Fax | 346-323-6171
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Provider Business Mailing Address
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Address Line | 17115 RED OAK DR STE 105
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City | HOUSTON
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State | TX
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Zip | 77090-2607
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Country | US
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Telephone | 346-323-6161
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Fax | 346-323-6171
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | DORATHY CHIAMAKA UBAH
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Credential |
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Telephone | 844-404-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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