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General NPI Number Information
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NPI Number | 1205328937
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Entity Type | Organization
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Legal Business Name | SEGUIN PHARMACY LLC
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 637 W COURT ST STE 100
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City | SEGUIN
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State | TX
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Zip | 78155-5705
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Country | US
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Telephone | 830-433-4820
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Fax | 830-433-9426
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Provider Business Mailing Address
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Address Line | 211 E COURT ST
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City | SEGUIN
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State | TX
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Zip | 78155-5705
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Country | US
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Telephone | 830-433-4820
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Fax | 830-433-4820
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Authorized Official
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Title or Position | OWNER/PHARMACIST IN CHARGE
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Name | MERLIN TCHAWA YIMGA
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Credential |
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Telephone | 830-433-4820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 32089
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License Number State | TX
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