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General NPI Number Information
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NPI Number | 1083133516
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Entity Type | Organization
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Legal Business Name | SAGS PHARMACY INC
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2607 S COOPER ST STE 111
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City | ARLINGTON
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State | TX
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Zip | 76015-2445
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Country | US
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Telephone | 817-518-9279
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Fax | 817-518-9280
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Provider Business Mailing Address
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Address Line | 2607 S COOPER ST STE 111
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City | ARLINGTON
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State | TX
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Zip | 76015-2445
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Country | US
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Telephone | 817-518-9279
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Fax | 817-518-9280
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Authorized Official
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Title or Position | OFFICER
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Name | MR. SAGAR PATEL
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Credential |
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Telephone | 214-457-5571
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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 | 31612
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License Number State | TX
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