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General NPI Number Information
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NPI Number | 1275961831
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Entity Type | Organization
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Legal Business Name | PHARMA HOLDINGS US OF TN LLC
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Dates
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Enumeration Date | 10/17/2013
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 1400 DONELSON PIKE STE A20
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City | NASHVILLE
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State | TN
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Zip | 37217-2991
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Country | US
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Telephone | 615-915-5266
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Fax | 305-222-7221
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Provider Business Mailing Address
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Address Line | 5710 LBJ FWY SUITE 325
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City | DALLAS
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State | TX
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Zip | 75240-6324
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Country | US
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Telephone | 214-888-8099
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Fax | 214-261-2217
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARY ROSSEL
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Credential |
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Telephone | 214-697-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 00005295
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License Number State | CA
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