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General NPI Number Information
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NPI Number | 1104044254
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Entity Type | Organization
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Legal Business Name | NNWOOD PHARMACY LLC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 8240 ANTOINE DR STE # 108
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City | HOUSTON
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State | TX
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Zip | 77088-2534
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Country | US
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Telephone | 281-448-8836
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Fax | 281-448-8851
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Provider Business Mailing Address
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Address Line | 8240 ANTOINE DR STE # 108
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City | HOUSTON
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State | TX
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Zip | 77088-2534
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Country | US
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Telephone | 281-448-8836
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Fax | 281-448-8851
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | CHERYL GREENLEAF
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Credential | RPH
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Telephone | 281-448-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24166
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License Number State | TX
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