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General NPI Number Information
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NPI Number | 1174841860
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Entity Type | Organization
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Legal Business Name | PREMIER PHARMACY INTERNATIONAL, LP
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 20214 BRAIDWOOD DR SUITE 140
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City | KATY
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State | TX
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Zip | 77450-2138
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Country | US
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Telephone | 281-828-9088
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Fax |
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Provider Business Mailing Address
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Address Line | 20214 BRAIDWOOD DR SUITE 140
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City | KATY
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State | TX
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Zip | 77450-2138
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Country | US
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Telephone | 281-828-9088
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MS. TAMBRA L FOLSOM
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Credential | R.PH.
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Telephone | 281-698-8624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18732
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License Number State | TX
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