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General NPI Number Information
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NPI Number | 1184070096
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Entity Type | Organization
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Legal Business Name | HEAL THE CITY PHARMACY
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 609 S CAROLINA ST
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City | AMARILLO
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State | TX
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Zip | 79106-8721
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Country | US
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Telephone | 68-039-4878
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Fax |
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Provider Business Mailing Address
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Address Line | 609 S CAROLINA ST
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City | AMARILLO
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State | TX
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Zip | 79106-8721
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Country | US
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Telephone | 806-803-9487
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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 | DR. DEVAN GONZALEZ
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Credential | R. PH
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Telephone | 806-679-4205
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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 | TX
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