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General NPI Number Information
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NPI Number | 1023328374
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Entity Type | Organization
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Legal Business Name | O&W INTERESTS LLC
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 3954 SPENCER HWY
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City | PASADENA
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State | TX
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Zip | 77504-1206
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Country | US
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Telephone | 713-378-6900
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Fax | 713-378-6901
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Provider Business Mailing Address
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Address Line | PO BOX 7029
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City | PASADENA
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State | TX
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Zip | 77508-7029
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Country | US
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Telephone | 713-378-6900
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Fax | 713-378-6901
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Authorized Official
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Title or Position | OWNER/PIC/PRESIDENT
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Name | TROY WALKER
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Credential | RPH
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Telephone | 281-991-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27881
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License Number State | TX
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