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General NPI Number Information
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NPI Number | 1184128258
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Entity Type | Organization
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Legal Business Name | PHARMACY DELIVERY
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 333 N SHILOH RD STE 109
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City | GARLAND
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State | TX
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Zip | 75042-6680
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Country | US
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Telephone | 469-573-6336
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Fax | 469-573-5115
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Provider Business Mailing Address
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Address Line | 333 N SHILOH RD STE 109
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City | GARLAND
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State | TX
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Zip | 75042-6680
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Country | US
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Telephone | 469-573-6336
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Fax | 469-573-5115
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Authorized Official
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Title or Position | MANAGER
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Name | MAHMOUD ABUAZAB
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Credential |
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Telephone | 469-573-6336
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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 | 31832
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License Number State | TX
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