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General NPI Number Information
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NPI Number | 1164026316
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Entity Type | Individual
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Provider Name | ALEXANDER BOYER PHARM D
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Gender | Male
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 1101 E US HIGHWAY 377
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City | GRANBURY
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State | TX
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Zip | 76048-2545
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Country | US
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Telephone | 817-573-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 BOB WHITE DR
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City | GRANBURY
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State | TX
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Zip | 76049-7026
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Country | US
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Telephone | 315-806-6144
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 67482
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License Number State | TX
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