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General NPI Number Information
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NPI Number | 1174223317
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Entity Type | Organization
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Legal Business Name | MI-MEDS PHARMACY LLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 18021 LONGENBAUGH RD. STE 4A
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City | CYPRESS
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State | TX
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Zip | 77433
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Country | US
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Telephone | 346-551-7141
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Fax |
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Provider Business Mailing Address
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Address Line | 4815 MESQUITE MEADOW LN
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City | KATY
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State | TX
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Zip | 77494-3237
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Country | US
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Telephone | 832-312-8802
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Fax |
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Authorized Official
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Title or Position | OWNER/PIC
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Name | HIEN N VO
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Credential | RPH
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Telephone | 832-312-8802
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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 |
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License Number State |
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