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General NPI Number Information
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NPI Number | 1134497829
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Entity Type | Organization
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Legal Business Name | P. PHARMACY INC
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 9000 RICHMOND AVE SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77063-4925
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Country | US
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Telephone | 713-691-6200
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Fax | 713-691-6202
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Provider Business Mailing Address
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Address Line | 9000 RICHMOND AVE SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77063-4925
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Country | US
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Telephone | 713-691-6200
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Fax | 713-691-6202
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | MR. AHMAD ALYASIN
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Credential |
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Telephone | 713-691-6200
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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 | 27789
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License Number State | TX
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