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General NPI Number Information
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NPI Number | 1124321781
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Entity Type | Organization
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Legal Business Name | MEDEX HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 9600 FONDREN RD STE B3
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City | HOUSTON
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State | TX
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Zip | 77096-3682
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Country | US
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Telephone | 713-771-3800
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Fax | 713-771-3801
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Provider Business Mailing Address
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Address Line | 7007 BALLINGER RIDGE LN
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City | RICHMOND
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State | TX
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Zip | 77407-4058
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Country | US
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Telephone | 832-275-2814
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH UKONU
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Credential |
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Telephone | 832-275-2814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27255
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License Number State | TX
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