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General NPI Number Information
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NPI Number | 1114166410
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Entity Type | Organization
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Legal Business Name | EXPRESS FAMILY PHARMACY, LLC
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 10101 FONDREN RD STE 106
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City | HOUSTON
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State | TX
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Zip | 77096-5135
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Country | US
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Telephone | 713-636-9177
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Fax | 713-510-1854
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Provider Business Mailing Address
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Address Line | 10101 FONDREN RD STE 106
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City | HOUSTON
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State | TX
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Zip | 77096-5135
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Country | US
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Telephone | 713-636-9177
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Fax | 713-510-1854
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Authorized Official
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Title or Position | OWNER
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Name | CONSUELA YANCY
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Credential | RPH
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Telephone | 713-636-9177
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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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