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General NPI Number Information
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NPI Number | 1255656526
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Entity Type | Organization
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Legal Business Name | REMCO PHARMACY
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 1325 E. PIONEER PARKWAY
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City | ARLINGTON
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State | TX
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Zip | 76010-5868
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Country | US
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Telephone | 817-460-4400
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Fax | 817-460-1312
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Provider Business Mailing Address
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Address Line | PO BOX 542192
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-2192
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Country | US
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Telephone | 817-460-4400
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Fax | 817-460-1312
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. CHRISTOPHER AJAYI
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Credential |
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Telephone | 817-460-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26330
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License Number State | TX
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