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NPI 1194952325

NPI 1194952325 : PRIMECARE PHARMACY : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1194952325
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRIMECARE PHARMACY 
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Dates
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    Enumeration Date     |    06/15/2009
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    Last Update Date     |    06/15/2009
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Provider Practice Location Address
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    Address Line         |    5900 CHIMNEY ROCK RD. STE AC
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77081
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    Country              |    US
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    Telephone            |    832-247-9380
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    Fax                  |    713-661-7747
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Provider Business Mailing Address
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    Address Line         |    7118 BRAMLETT CT 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77479-5634
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    Country              |    US
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    Telephone            |    832-247-9380
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    Fax                  |    713-661-7747
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. HEMANTKUMAR  SHETH 
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    Credential           |    RPH
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    Telephone            |    832-247-9380
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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 |    
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