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General NPI Number Information
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NPI Number | 1275185027
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Entity Type | Organization
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Legal Business Name | G & H DRUGS, LLC
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 07/11/2019
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Provider Practice Location Address
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Address Line | 1705 DAYTON AVE
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City | WICHITA FALLS
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State | TX
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Zip | 76301-6109
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Country | US
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Telephone | 940-631-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 DAYTON AVE
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City | WICHITA FALLS
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State | TX
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Zip | 76301-6109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER & CHIEF EXECUTIVE OFFICER
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Name | JEFFREY JOHN PAPAK
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Credential |
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Telephone | 940-631-8100
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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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