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General NPI Number Information
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NPI Number | 1053818096
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Entity Type | Organization
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Legal Business Name | NIXONA RX, LLC
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 1614 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-3032
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Country | US
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Telephone | 480-493-0111
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Fax | 480-493-0116
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Provider Business Mailing Address
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Address Line | 1614 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-3032
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Country | US
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Telephone | 408-999-6419
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA JONES
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Credential |
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Telephone | 480-493-0111
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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 | AZ
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