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General NPI Number Information
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NPI Number | 1144425810
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Entity Type | Organization
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Legal Business Name | BROWNSVILLE FAMILY PHARMACY, INC
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 44 W JEFFERSON ST SUITE A
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City | BROWNSVILLE
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State | TX
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Zip | 78520-6258
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Country | US
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Telephone | 956-541-1112
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Fax | 956-541-1112
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Provider Business Mailing Address
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Address Line | 44 W JEFFERSON ST SUITE A
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City | BROWNSVILLE
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State | TX
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Zip | 78520-6258
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Country | US
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Telephone | 956-541-1112
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Fax | 956-541-1112
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MR. JUAN E BENITEZ
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Credential | R.PH.
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Telephone | 956-541-1112
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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 | 25433
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License Number State | TX
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