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General NPI Number Information
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NPI Number | 1245567213
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Entity Type | Organization
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Legal Business Name | LOPERS NEIGHBORHOOD PHARMACY INC
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 2155 WORTH ST
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City | HEMPHILL
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State | TX
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Zip | 75948-7249
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Country | US
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Telephone | 409-787-2345
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Fax | 409-787-2346
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Provider Business Mailing Address
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Address Line | PO BOX 1948
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City | HEMPHILL
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State | TX
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Zip | 75948-1948
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Country | US
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Telephone | 409-787-2345
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Fax | 409-787-2346
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | JERRY LOPER
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Credential | RPH
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Telephone | 936-422-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 26656
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License Number State | TX
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