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General NPI Number Information
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NPI Number | 1245071075
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Entity Type | Organization
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Legal Business Name | TOWN & COUNTRY DRUG, INC.
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 2745 N GRANDVIEW AVE
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City | ODESSA
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State | TX
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Zip | 79762-6952
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Country | US
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Telephone | 432-366-2868
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Fax | 432-366-6616
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Provider Business Mailing Address
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Address Line | 2745 N GRANDVIEW AVE
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City | ODESSA
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State | TX
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Zip | 79762-6952
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Country | US
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Telephone | 432-366-2868
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Fax | 432-366-6616
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ANDREW PRADO
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Credential | PHARM D
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Telephone | 432-366-2868
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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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