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General NPI Number Information
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NPI Number | 1285254060
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Entity Type | Organization
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Legal Business Name | RIVER ROAD PHARMACY
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 910 RIVER RD
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City | BOERNE
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State | TX
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Zip | 78006-2441
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Country | US
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Telephone | 830-816-5312
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Fax |
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Provider Business Mailing Address
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Address Line | 910 RIVER RD
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City | BOERNE
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State | TX
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Zip | 78006-2441
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Country | US
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Telephone | 830-816-5312
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST-IN-CHARGE
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Name | ADAM LEN MAJORS
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Credential | PHARMD
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Telephone | 830-816-5312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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