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General NPI Number Information
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NPI Number | 1093392599
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Entity Type | Organization
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Legal Business Name | SIMPO PHARMACY & CVS INC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 5602B TELEPHONE RD
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City | HOUSTON
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State | TX
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Zip | 77087-4418
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Country | US
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Telephone | 281-846-6849
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Fax | 281-846-6859
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Provider Business Mailing Address
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Address Line | 5602B TELEPHONE RD
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City | HOUSTON
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State | TX
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Zip | 77087-4418
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Country | US
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Telephone | 281-846-6849
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Fax | 281-846-6859
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Authorized Official
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Title or Position | DIRECTOR/PHARMACIST/OWNER
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Name | STEPHEN O MBAH
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Credential |
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Telephone | 832-693-5145
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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 |
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