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General NPI Number Information
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NPI Number | 1306882774
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Entity Type | Organization
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Legal Business Name | SPECIALIZED PHARMACY, INC.
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 15401 VANTAGE PKWY W SUITE 120
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City | HOUSTON
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State | TX
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Zip | 77032-1968
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Country | US
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Telephone | 281-987-8500
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Fax | 281-987-2660
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Provider Business Mailing Address
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Address Line | 15401 VANTAGE PKWY W SUITE 120
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City | HOUSTON
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State | TX
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Zip | 77032-1968
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Country | US
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Telephone | 281-987-8500
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Fax | 281-987-2660
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | STANLEY LEE
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Credential |
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Telephone | 281-987-8500
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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 | 18791
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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