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General NPI Number Information
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NPI Number | 1164758835
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Entity Type | Organization
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Legal Business Name | QUICK CK PRESCRIPTION SHOP LLC
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 2656 S LOOP W STE 574
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City | HOUSTON
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State | TX
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Zip | 77054-2664
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Country | US
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Telephone | 832-831-9465
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Fax | 832-831-9467
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Provider Business Mailing Address
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Address Line | 2656 S LOOP W STE 574
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City | HOUSTON
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State | TX
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Zip | 77054-2664
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Country | US
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Telephone | 832-831-9465
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Fax | 832-831-9467
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARISH KATHARANI
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Credential | R.PH
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Telephone | 832-831-9465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 26640
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License Number State | TX
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