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General NPI Number Information
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NPI Number | 1104636869
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Entity Type | Organization
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Legal Business Name | UPTHRUST PHARMACY AND PHARMACAL LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 17119 FM 362 RD
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City | WALLER
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State | TX
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Zip | 77484-9317
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Country | US
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Telephone | 936-372-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 17119 FM 362 RD
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City | WALLER
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State | TX
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Zip | 77484-9317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | AKINJIDE AGBODO
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Credential | PHARMD
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Telephone | 832-745-9144
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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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