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General NPI Number Information
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NPI Number | 1194359984
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Entity Type | Organization
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Legal Business Name | WELLS PHARMA OF HOUSTON, LLC
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 9265 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77054-2520
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Country | US
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Telephone | 346-888-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 9265 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77054-2520
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Country | US
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Telephone | 346-888-1010
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT BUSINESS DEVELOPMENT
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Name | ANTHONY SCHWARTZ
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Credential |
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Telephone | 314-496-2282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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