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NPI 1215411640

NPI 1215411640 : US DRUG MART, INC. : MIDLOTHIAN, TX

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General NPI Number Information
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    NPI Number           |    1215411640
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    Entity Type          |    Organization 
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    Legal Business Name  |    US DRUG MART, INC. 
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Dates
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    Enumeration Date     |    09/21/2018
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    Last Update Date     |    04/21/2025
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Provider Practice Location Address
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    Address Line         |    540 GEORGE HOPPER ROAD 
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    City                 |    MIDLOTHIAN
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    State                |    TX
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    Zip                  |    76065
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    Country              |    US
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    Telephone            |    972-775-1180
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    Fax                  |    972-775-7971
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Provider Business Mailing Address
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    Address Line         |    PO BOX 240 
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    City                 |    MIDLOTHIAN
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    State                |    TX
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    Zip                  |    76065-0240
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    Country              |    US
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    Telephone            |    972-775-1180
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    Fax                  |    972-775-7971
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     DAVID  PASCHAL 
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    Credential           |    
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    Telephone            |    972-775-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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