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General NPI Number Information
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NPI Number | 1043503915
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Entity Type | Organization
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Legal Business Name | COMPOUNDING PHARMACY SOLUTIONS
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 6105 BEVERLY HILL STREET SUITE 201
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City | HOUSTON
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State | TX
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Zip | 77057-6716
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Country | US
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Telephone | 713-783-2836
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Fax | 713-782-2644
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Provider Business Mailing Address
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Address Line | 6105 BEVERLY HILL STREET SUITE 201
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City | HOUSTON
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State | TX
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Zip | 77057-6716
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Country | US
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Telephone | 713-783-2836
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Fax | 713-782-2644
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. ABDALLAH RASSY
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Credential | R.PH.
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Telephone | 713-783-2836
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 27496
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 27496
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License Number State | TX
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