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General NPI Number Information
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NPI Number | 1205998614
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Entity Type | Organization
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Legal Business Name | SMART CHOICE DRUGSTORE
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4030 W BRAKER LN STE 400
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City | AUSTIN
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State | TX
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Zip | 78759-5315
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Country | US
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Telephone | 866-289-6337
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Fax | 866-830-9804
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Provider Business Mailing Address
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Address Line | 4030 W BRAKER LN STE 400
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City | AUSTIN
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State | TX
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Zip | 78759-5315
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Country | US
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Telephone | 866-289-6337
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Fax | 866-830-9804
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JUDY WELCH
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Credential | RPH
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Telephone | 866-289-6337
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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 | 24171
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License Number State | TX
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