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General NPI Number Information
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NPI Number | 1194980003
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Entity Type | Organization
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Legal Business Name | 2920 FAMILY PHARMACY LLC
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 6225 FM 2920 RD STE 205
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City | SPRING
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State | TX
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Zip | 77379-3474
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Country | US
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Telephone | 832-559-7644
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Fax | 832-559-7644
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Provider Business Mailing Address
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Address Line | 6225 FM 2920 RD STE 205
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City | SPRING
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State | TX
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Zip | 77379-3474
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Country | US
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Telephone | 832-559-7644
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Fax | 832-559-7644
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Authorized Official
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Title or Position | OWNER
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Name | TAMIKA FORD
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Credential |
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Telephone | 832-559-7644
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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 | 27281
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License Number State | TX
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