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NPI 1154891265

NPI 1154891265 : SIGMA CARE RX : HEWITT, TX

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General NPI Number Information
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    NPI Number           |    1154891265
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    Entity Type          |    Organization 
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    Legal Business Name  |    SIGMA CARE RX 
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Dates
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    Enumeration Date     |    11/30/2018
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    Last Update Date     |    11/30/2018
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Provider Practice Location Address
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    Address Line         |    235 N HEWITT DR 
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    City                 |    HEWITT
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    State                |    TX
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    Zip                  |    76643-7010
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    Country              |    US
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    Telephone            |    254-301-7106
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    235 N HEWITT DR 
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    City                 |    HEWITT
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    State                |    TX
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    Zip                  |    76643-7010
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    Country              |    US
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    Telephone            |    254-301-7106
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DONALD W THOMAS 
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    Credential           |    RPH
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    Telephone            |    214-518-8466
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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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