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General NPI Number Information
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NPI Number | 1033832258
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Entity Type | Organization
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Legal Business Name | STAMFORD APOTHECARY LLC
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 3115 W PARKER RD STE 395
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City | PLANO
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State | TX
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Zip | 75023-8139
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Country | US
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Telephone | 972-905-5504
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Fax | 972-212-7191
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Provider Business Mailing Address
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Address Line | 3115 W PARKER RD STE 395
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City | PLANO
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State | TX
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Zip | 75023-8139
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Country | US
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Telephone | 972-905-5504
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Fax | 972-212-7191
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | ZACHARY M WHITTLE
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Credential | R.PH,
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Telephone | 972-905-5504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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