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General NPI Number Information
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NPI Number | 1134038185
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Entity Type | Organization
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Legal Business Name | EMBARK RX LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 26077 NELSON WAY STE 1401
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City | KATY
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State | TX
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Zip | 77494-6699
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Country | US
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Telephone | 888-662-9079
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Fax |
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Provider Business Mailing Address
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Address Line | 26077 NELSON WAY STE 1401
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City | KATY
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State | TX
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Zip | 77494-6699
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Country | US
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Telephone | 888-662-9079
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JEREMY BOURGEOIS
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Credential |
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Telephone | 512-925-9755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835C0207X
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Taxonomy Name | Compounded Sterile Preparations Pharmacist
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License Number |
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License Number State |
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