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General NPI Number Information
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NPI Number | 1225614670
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Entity Type | Organization
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Legal Business Name | S&M HEALTH LLC
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 980 E 87TH ST STE C
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City | ODESSA
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State | TX
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Zip | 79765-1318
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Country | US
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Telephone | 432-257-3732
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Fax | 432-257-3734
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Provider Business Mailing Address
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Address Line | 980 E 87TH ST STE C
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City | ODESSA
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State | TX
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Zip | 79765-1318
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Country | US
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Telephone | 432-257-3732
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Fax | 432-257-3734
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Authorized Official
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Title or Position | PHARMACIST
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Name | MAKUA OGBA
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Credential | PHARMD
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Telephone | 713-835-2312
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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 |
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License Number State |
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