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General NPI Number Information
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NPI Number | 1124328034
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Entity Type | Organization
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Legal Business Name | MEDRX COMPOUNDING & PHARMACY LIMITED COMPANY
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 601 WAYSIDE DR STE D
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City | HOUSTON
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State | TX
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Zip | 77011-3614
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Country | US
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Telephone | 832-767-5466
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Fax | 832-582-7792
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Provider Business Mailing Address
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Address Line | 601 WAYSIDE DR SUITE D
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City | HOUSTON
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State | TX
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Zip | 77011-3614
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Country | US
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Telephone | 832-767-5466
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Fax | 832-582-7795
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | LINDA SARPONG
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Credential |
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Telephone | 832-259-1362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27235
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License Number State | TX
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