{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PIONEER DRUGS INC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6944 SEA HARBOR DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRAND PRAIRIE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75054-7280",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "682-433-9928",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1117 W PIONEER PKWY STE 105",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARLINGTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76013-6398",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "682-273-0532",
"PracticeLocationAddressFaxNumber": "682-273-0534",
"EnumerationDate": "04/03/2019",
"LastUpdateDate": "08/26/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NGUYEN",
"AuthorizedOfficialFirstName": "TUAN",
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"AuthorizedOfficialTitle": "OFFICER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "682-433-9928",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}