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General NPI Number Information
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NPI Number | 1043677461
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Entity Type | Organization
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Legal Business Name | BARATO PHARMACY, LLC
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Dates
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Enumeration Date | 01/16/2016
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 7218 HARRISBURG BLVD STE B
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City | HOUSTON
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State | TX
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Zip | 77011-4737
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Country | US
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Telephone | 832-830-8844
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Fax | 713-921-3901
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Provider Business Mailing Address
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Address Line | 5105 HARRISBURG BLVD
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City | HOUSTON
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State | TX
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Zip | 77011-4204
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Country | US
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Telephone | 832-831-6819
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Fax | 713-921-3901
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ANGEL R AVILES
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Credential | BS PHARM
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Telephone | 832-831-6819
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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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