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General NPI Number Information
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NPI Number | 1194029751
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Entity Type | Organization
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Legal Business Name | MEXRX INC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 4800 S 23RD ST STE 6
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City | MCALLEN
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State | TX
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Zip | 78503-8694
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Country | US
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Telephone | 956-631-7661
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Fax | 956-631-7673
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Provider Business Mailing Address
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Address Line | PO BOX 6575
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City | MCALLEN
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State | TX
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Zip | 78502-6575
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Country | US
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Telephone | 956-467-6267
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Fax |
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Authorized Official
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Title or Position | VP
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Name | MELISSA GARZA CAVAZOS
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Credential |
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Telephone | 956-631-7661
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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 | 27302
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License Number State | TX
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