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NPI 1245749514

NPI 1245749514 : KIMMY PHARMACY, LLC. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1245749514
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    Entity Type          |    Organization 
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    Legal Business Name  |    KIMMY PHARMACY, LLC. 
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Dates
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    Enumeration Date     |    09/29/2017
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    Last Update Date     |    05/07/2021
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Provider Practice Location Address
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    Address Line         |    7991 S DAIRY ASHFORD RD UNIT B 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77072-4631
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    Country              |    US
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    Telephone            |    832-781-8998
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    Fax                  |    281-717-6017
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Provider Business Mailing Address
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    Address Line         |    7991 S DAIRY ASHFORD RD STE B 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77072-4631
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    Country              |    US
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    Telephone            |    832-781-8998
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    Fax                  |    281-717-6017
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JENNY  NGUYEN 
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    Credential           |    
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    Telephone            |    832-781-8998
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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       |    
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    License Number State |    
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