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NPI 1336227784

NPI 1336227784 : BHRX LLC : WILLS POINT, TX

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General NPI Number Information
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    NPI Number           |    1336227784
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    Entity Type          |    Organization 
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    Legal Business Name  |    BHRX LLC 
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Dates
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    Enumeration Date     |    11/02/2006
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    Last Update Date     |    08/28/2023
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Provider Practice Location Address
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    Address Line         |    145 N 4TH ST 
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    City                 |    WILLS POINT
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    State                |    TX
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    Zip                  |    75169-2040
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    Country              |    US
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    Telephone            |    903-873-2538
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1014 N FIELDER RD 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76012-3149
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    Country              |    US
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    Telephone            |    817-274-1883
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     GARY  DALEY 
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    Credential           |    RPH
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    Telephone            |    817-274-1883
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    28668
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    License Number State |    TX
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