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General NPI Number Information
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NPI Number | 1205794682
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Entity Type | Organization
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Legal Business Name | HEALTHWEALTH PHARMACY LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 4321 W SAM HOUSTON PKWY N STE 190
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City | HOUSTON
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State | TX
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Zip | 77043-1230
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Country | US
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Telephone | 844-311-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 4321 W SAM HOUSTON PKWY N STE 190
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City | HOUSTON
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State | TX
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Zip | 77043-1230
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICE
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Name | TEMITOPE ADEBAYO
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Credential |
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Telephone | 310-918-0629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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