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General NPI Number Information
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NPI Number | 1215357462
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Entity Type | Organization
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Legal Business Name | AFRA PHARMACY INC.
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 8141 LONG POINT RD
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City | HOUSTON
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State | TX
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Zip | 77055-2032
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Country | US
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Telephone | 832-831-9694
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Fax |
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Provider Business Mailing Address
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Address Line | 8141 LONG POINT RD.
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City | HOUSTON
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State | TX
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Zip | 77055
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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 | OWNER
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Name | MR. JAMES CASASNOVAS
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Credential |
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Telephone | 832-831-9694
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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 | 29222
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License Number State | TX
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