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General NPI Number Information
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NPI Number | 1053273656
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Entity Type | Organization
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Legal Business Name | HOUSTON RX LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 104 N HOUSTON RD
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3040
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Country | US
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Telephone | 404-855-9475
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Fax |
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Provider Business Mailing Address
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Address Line | 608 S HOUSTON LAKE RD
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City | WARNER ROBINS
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State | GA
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Zip | 31088-6310
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Country | US
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Telephone | 478-333-6767
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | ATIT PATEL
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Credential | PHARMD
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Telephone | 404-855-9475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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