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General NPI Number Information
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NPI Number | 1194156778
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Entity Type | Organization
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Legal Business Name | INVERNESS APOTHECARY - SOUTH TEXAS
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Dates
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Enumeration Date | 12/06/2013
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 5009 S MCCOLL RD STE A
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City | EDINBURG
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State | TX
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Zip | 78539-8014
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Country | US
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Telephone | 956-467-0264
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Fax | 956-688-8967
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Provider Business Mailing Address
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Address Line | 5009 S MCCOLL RD STE A
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City | EDINBURG
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State | TX
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Zip | 78539-8014
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Country | US
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Telephone | 956-467-0264
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Fax | 956-688-8967
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | CARLOS LOPEZ
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Credential |
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Telephone | 210-204-2521
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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 | 28921
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | Y005924
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5499
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 114406
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License Number State | AL
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