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General NPI Number Information
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NPI Number | 1063786259
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Entity Type | Organization
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Legal Business Name | HEALTHFIRST PHARMACY PLLC
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 424 E PLEASANT RUN RD
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City | DESOTO
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State | TX
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Zip | 75115-3936
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Country | US
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Telephone | 469-297-5022
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Fax |
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Provider Business Mailing Address
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Address Line | 424 E PLEASANT RUN RD
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City | DESOTO
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State | TX
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Zip | 75115-3936
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Country | US
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Telephone | 469-297-5022
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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 | MRS. JERLINE SHUNTE TAKYI
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Credential | PHARM.D.
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Telephone | 469-297-5022
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27989
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License Number State | TX
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