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General NPI Number Information
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NPI Number | 1215190053
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Entity Type | Organization
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Legal Business Name | DOC'S DRUGSTORE OF EASTLAND INC
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 905 E MAIN ST
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City | EASTLAND
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State | TX
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Zip | 76448
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Country | US
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Telephone | 254-629-1000
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Fax | 254-629-1020
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Provider Business Mailing Address
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Address Line | 905 E MAIN ST
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City | EASTLAND
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State | TX
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Zip | 76448
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Country | US
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Telephone | 254-629-1000
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Fax | 254-629-1020
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Authorized Official
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Title or Position | OWNER/OFFICER
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Name | JOE RILEY
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Credential |
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Telephone | 325-646-7240
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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 | 26207
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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