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General NPI Number Information
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NPI Number | 1134788813
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Entity Type | Organization
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Legal Business Name | TOT PHARMACY
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 656 W BRAZOS AVE
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City | WEST COLUMBIA
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State | TX
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Zip | 77486-2616
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Country | US
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Telephone | 979-345-3925
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Fax | 979-345-3926
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Provider Business Mailing Address
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Address Line | 656 W BRAZOS AVE
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City | WEST COLUMBIA
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State | TX
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Zip | 77486-2616
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Country | US
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Telephone | 979-345-3925
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Fax | 979-345-3926
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JAMES MCGILVEARY
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Credential |
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Telephone | 979-345-3925
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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 |
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License Number State |
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