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General NPI Number Information
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NPI Number | 1174081178
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Entity Type | Organization
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Legal Business Name | STAMFORD APOTHECARY LLC
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Dates
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Enumeration Date | 03/08/2019
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 3115 W PARKER RD STE 395
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City | PLANO
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State | TX
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Zip | 75023-8139
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Country | US
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Telephone | 972-905-5504
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Fax |
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Provider Business Mailing Address
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Address Line | 3115 W PARKER RD STE 395
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City | PLANO
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State | TX
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Zip | 75023-8139
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Country | US
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Telephone | 972-905-5504
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ZACHARY WHITTLE
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Credential |
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Telephone | 972-905-5504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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