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General NPI Number Information
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NPI Number | 1164524807
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Entity Type | Organization
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Legal Business Name | RICHARD'S PHARMACY #2 LLC
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 909 BUSINESS PARK DR STE 2
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City | MISSION
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State | TX
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Zip | 78572-6054
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Country | US
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Telephone | 956-519-6777
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Fax | 956-519-0443
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Provider Business Mailing Address
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Address Line | 909 BUSINESS PARK DR STE 2
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City | MISSION
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State | TX
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Zip | 78572-6054
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Country | US
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Telephone | 956-519-6777
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Fax | 956-519-0443
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Authorized Official
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Title or Position | OWNER/STAFF PHARMACIST
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Name | MR. RAMIRO HUMBERTO BARRERA
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Credential | RPH
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Telephone | 956-519-6776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19061
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License Number State | TX
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