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General NPI Number Information
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NPI Number | 1174684245
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Entity Type | Organization
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Legal Business Name | PALMER PHARMACY PLUS INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 2731 W NORTHWEST HWY STE 105
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City | DALLAS
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State | TX
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Zip | 75220-4788
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Country | US
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Telephone | 214-765-9238
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Fax | 214-765-9240
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Provider Business Mailing Address
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Address Line | 2730 N STEMMONS FWY SUITE 813
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City | DALLAS
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State | TX
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Zip | 75207-2279
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Country | US
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Telephone | 214-765-9238
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Fax | 214-765-9240
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Authorized Official
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Title or Position | PHARMACIST
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Name | PAMELA ASHU
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Credential | BSPHARM
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Telephone | 214-765-9238
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 23019
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License Number State | TX
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