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General NPI Number Information
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NPI Number | 1174840037
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Entity Type | Organization
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Legal Business Name | SHARYLAND PHARMACY LLC
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 3600 N 23RD ST STE 102
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City | MCALLEN
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State | TX
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Zip | 78501-6081
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Country | US
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Telephone | 956-682-3335
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Fax | 956-682-3336
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Provider Business Mailing Address
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Address Line | 3600 N 23RD ST STE 102
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City | MCALLEN
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State | TX
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Zip | 78501-6081
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Country | US
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Telephone | 956-682-3335
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Fax | 956-682-3336
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Authorized Official
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Title or Position | MANAGING OFFICE
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Name | ARNOLDO VILLARREAL
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Credential |
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Telephone | 956-655-2510
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 26902
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License Number State | TX
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