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NPI 1306179981

NPI 1306179981 : PRESCRIPTION HEALTH RESOURCES, LLC : RICHLAND HILLS, TX

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General NPI Number Information
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    NPI Number           |    1306179981
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRESCRIPTION HEALTH RESOURCES, LLC 
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Dates
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    Enumeration Date     |    09/14/2009
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    Last Update Date     |    10/23/2018
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Provider Practice Location Address
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    Address Line         |    7345 AIRPORT FWY 
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    City                 |    RICHLAND HILLS
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    State                |    TX
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    Zip                  |    76118-6902
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    Country              |    US
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    Telephone            |    817-590-9599
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    Fax                  |    817-590-9499
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Provider Business Mailing Address
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    Address Line         |    7345 AIRPORT FWY 
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    City                 |    RICHLAND HILLS
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    State                |    TX
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    Zip                  |    76118-6902
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    Country              |    US
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    Telephone            |    817-590-9599
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    Fax                  |    817-590-9499
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Authorized Official
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    Title or Position    |    GENERAL MANAGER
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    Name                 |    MRS. KRISTIE R DOUGLAS 
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    Credential           |    
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    Telephone            |    817-590-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    1002125
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    27102
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    3336H0001X
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    Taxonomy Name        |    Home Infusion Therapy Pharmacy
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    License Number       |    27102
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    27102
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    License Number State |    TX
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Taxonomy #5
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    27102
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    27102
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    License Number State |    TX
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