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General NPI Number Information
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NPI Number | 1295077683
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Entity Type | Organization
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Legal Business Name | EAGLE PHARMACY
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Dates
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Enumeration Date | 03/23/2013
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1404 S MAIN ST
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City | LINDALE
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State | TX
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Zip | 75771-6267
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Country | US
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Telephone | 903-881-5752
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Fax | 888-374-1180
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Provider Business Mailing Address
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Address Line | 1404 S MAIN ST
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City | LINDALE
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State | TX
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Zip | 75771-6267
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Country | US
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Telephone | 903-881-5752
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Fax | 888-374-1180
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. JOHN ANDREW DROBLYN
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Credential | PHARMD.
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Telephone | 903-376-1881
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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 | 28649
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License Number State | TX
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