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General NPI Number Information
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NPI Number | 1154655322
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Entity Type | Organization
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Legal Business Name | COMPLETE RPH RX SERVICES
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 5627 ALDINE BENDER RD STE 7
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City | HOUSTON
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State | TX
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Zip | 77032-4534
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Country | US
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Telephone | 281-227-1010
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Fax | 281-227-1015
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Provider Business Mailing Address
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Address Line | 5627 ALDINE BENDER RD STE 7
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City | HOUSTON
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State | TX
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Zip | 77032-4534
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Country | US
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Telephone | 281-227-1010
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Fax | 281-227-1015
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Authorized Official
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Title or Position | OWNER / PHARMACIST-IN-CHARGE
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Name | DETRA HUBERT BOYKIN
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Credential |
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Telephone | 281-227-1010
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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 | 29039
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License Number State | TX
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Taxonomy #2
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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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