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General NPI Number Information
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NPI Number | 1154690634
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Entity Type | Organization
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Legal Business Name | HOPE PHARMACY INC
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 1140 BUSINESS CENTER DR STE 103
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City | HOUSTON
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State | TX
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Zip | 77043-2740
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Country | US
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Telephone | 713-465-1117
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Fax | 713-465-1480
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Provider Business Mailing Address
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Address Line | 1140 BUSINESS CENTER DR STE 103
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City | HOUSTON
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State | TX
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Zip | 77043-2740
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Country | US
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Telephone | 713-465-1117
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Fax | 713-465-1480
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Authorized Official
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Title or Position | MANAGER
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Name | RANDEE DELABRA
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Credential |
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Telephone | 832-257-7853
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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 |
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License Number State |
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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 | 27831
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License Number State | TX
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