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General NPI Number Information
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NPI Number | 1083999122
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Entity Type | Organization
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Legal Business Name | CARTERS PHARMACY RX LLC
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 1202 LARK LN STE 3
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City | RICHMOND
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State | TX
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Zip | 77469-7433
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Country | US
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Telephone | 281-239-7519
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Fax | 281-966-1845
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Provider Business Mailing Address
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Address Line | 14019 SOUTHWEST FWY STE 301-241
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City | SUGAR LAND
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State | TX
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Zip | 77478-3563
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Country | US
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Telephone | 281-239-7519
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Fax | 281-966-1845
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MICHELLE JENKINS
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Credential |
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Telephone | 281-239-7519
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27647
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License Number State | TX
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