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General NPI Number Information
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NPI Number | 1316154818
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Entity Type | Organization
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Legal Business Name | MEDI-PLUS PHARMACY
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 3845 FM 1960 RD W SUITE 191
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City | HOUSTON
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State | TX
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Zip | 77068-3531
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Country | US
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Telephone | 832-286-1304
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 546
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City | BARKER
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State | TX
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Zip | 77413-0546
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Country | US
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Telephone | 832-286-1304
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Fax |
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | MR. THOMAS S HUANG
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Credential | RPH
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Telephone | 832-286-1304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20640
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License Number State | TX
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