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General NPI Number Information
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NPI Number | 1033965751
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Entity Type | Organization
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Legal Business Name | PROSXYSRX-LA LLC
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1731 LUTCHER AVE STE 1100
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City | LUTCHER
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State | LA
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Zip | 70071-5151
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Country | US
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Telephone | 225-327-1018
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Fax | 225-327-1019
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Provider Business Mailing Address
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Address Line | 320 S POLK ST STE 200
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City | AMARILLO
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State | TX
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Zip | 79101-1436
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Country | US
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Telephone | 806-242-7782
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Fax | 304-699-0264
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Authorized Official
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Title or Position | PRESIDENT PHARMACY SERVICES
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Name | MR. JOEL WRIGHT
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Credential |
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Telephone | 806-242-7782
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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 |
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License Number State |
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