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General NPI Number Information
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NPI Number | 1114806114
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Entity Type | Organization
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Legal Business Name | HARVEST RX LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 110 VISION PARK BLVD STE 220
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City | SHENANDOAH
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State | TX
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Zip | 77384-3015
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Country | US
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Telephone | 832-663-6444
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Fax | 832-663-6445
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Provider Business Mailing Address
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Address Line | 110 VISION PARK BLVD STE 220
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City | SHENANDOAH
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State | TX
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Zip | 77384-3015
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Country | US
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Telephone | 832-663-6444
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Fax | 832-663-6445
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Authorized Official
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Title or Position | MANAGER
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Name | PHIBI GABIR
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Credential |
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Telephone | 440-840-6696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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