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General NPI Number Information
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NPI Number | 1023357878
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Entity Type | Organization
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Legal Business Name | CAMPBELLS COMPOUNDING
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 6603 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77005-3900
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Country | US
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Telephone | 713-668-4833
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Fax | 713-668-4812
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Provider Business Mailing Address
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Address Line | 6603 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77005-3900
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Country | US
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Telephone | 713-668-4833
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Fax | 713-668-4812
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LANCE CAMPBELL
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Credential |
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Telephone | 713-668-4833
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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 | 22522
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License Number State | TX
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