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General NPI Number Information
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NPI Number | 1255905956
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Entity Type | Organization
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Legal Business Name | HL PHARMASOURCE INC
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 26202 OAK RIDGE DR STE A-107
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City | SPRING
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State | TX
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Zip | 77380-1994
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Country | US
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Telephone | 832-446-3382
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Fax |
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Provider Business Mailing Address
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Address Line | 26202 OAK RIDGE DR STE A-107
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City | SPRING
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State | TX
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Zip | 77380-1994
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Country | US
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Telephone | 832-446-3382
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Fax | 832-286-4354
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Authorized Official
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Title or Position | OWNER
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Name | JESSIE JORDAN
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Credential |
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Telephone | 281-687-4521
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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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