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General NPI Number Information
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NPI Number | 1275159758
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Entity Type | Organization
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Legal Business Name | HUNT'S PHARMA RX LLC
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 3667 COUNTY ROAD 2134 STE A
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City | GREENVILLE
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State | TX
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Zip | 75402-4652
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Country | US
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Telephone | 903-423-4560
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Fax | 903-965-6632
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Provider Business Mailing Address
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Address Line | 3667 COUNTY ROAD 2134 STE A
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City | GREENVILLE
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State | TX
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Zip | 75402-4652
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Country | US
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Telephone | 903-423-4560
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Fax | 903-965-6632
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Authorized Official
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Title or Position | OWNER
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Name | JANE BONO
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Credential |
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Telephone | 214-636-0393
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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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