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NPI 1265832471

NPI 1265832471 : MGLS PROPERTIES, LLC : WHITEWRIGHT, TX

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General NPI Number Information
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    NPI Number           |    1265832471
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    Entity Type          |    Organization 
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    Legal Business Name  |    MGLS PROPERTIES, LLC 
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Dates
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    Enumeration Date     |    08/26/2014
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    Last Update Date     |    09/29/2016
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Provider Practice Location Address
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    Address Line         |    419 S STATE HWY. 69 
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    City                 |    WHITEWRIGHT
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    State                |    TX
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    Zip                  |    75491-2425
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    Country              |    US
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    Telephone            |    903-364-5537
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    Fax                  |    903-364-5774
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Provider Business Mailing Address
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    Address Line         |    PO BOX 987 
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    City                 |    WHITEWRIGHT
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    State                |    TX
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    Zip                  |    75491-0987
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    Country              |    US
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    Telephone            |    903-364-5537
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    Fax                  |    903-364-5774
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Authorized Official
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    Title or Position    |    PHARMACIST/OWNER
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    Name                 |    MRS. ALYDIA SCHATZ SAENZ 
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    Credential           |    
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    Telephone            |    903-364-5537
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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       |    29382
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    License Number State |    TX
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