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General NPI Number Information
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NPI Number | 1154951390
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Entity Type | Organization
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Legal Business Name | MEDRX SPECIALTY PHARMACY, LLC
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 19255 PARK ROW STE 103
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City | HOUSTON
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State | TX
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Zip | 77084-7310
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Country | US
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Telephone | 713-303-3189
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2188
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City | CYPRESS
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State | TX
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Zip | 77410-2188
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Country | US
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Telephone | 713-303-3189
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. BARBARA S ELLIS
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Credential |
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Telephone | 713-389-0112
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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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