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General NPI Number Information
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NPI Number | 1215499751
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Entity Type | Organization
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Legal Business Name | PIONEER DRUGS INC
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 1117 W PIONEER PKWY STE 105
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City | ARLINGTON
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State | TX
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Zip | 76013-6398
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Country | US
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Telephone | 682-273-0532
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Fax | 682-273-0534
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Provider Business Mailing Address
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Address Line | 6944 SEA HARBOR DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-7280
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Country | US
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Telephone | 682-433-9928
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MR. TUAN NGUYEN
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Credential |
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Telephone | 682-433-9928
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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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