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General NPI Number Information
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NPI Number | 1164929675
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Entity Type | Organization
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Legal Business Name | S&S PHARMACY LLC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 14144 WESTHEIMER RD STE 100
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City | HOUSTON
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State | TX
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Zip | 77077-5366
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Country | US
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Telephone | 281-617-7357
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Fax | 281-624-4791
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Provider Business Mailing Address
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Address Line | 14144 WESTHEIMER RD STE 100
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City | HOUSTON
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State | TX
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Zip | 77077-5366
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Country | US
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Telephone | 281-617-7357
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Fax | 281-624-4791
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Authorized Official
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Title or Position | OWNER
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Name | DIANA HERNANDEZ
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Credential |
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Telephone | 281-605-8922
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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 | 31808
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License Number State | TX
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