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General NPI Number Information
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NPI Number | 1336437920
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Entity Type | Organization
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Legal Business Name | PHARMVEL LLC
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Dates
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Enumeration Date | 07/16/2011
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 4711 S ALAMO RD STE 105
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City | EDINBURG
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State | TX
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Zip | 78542-3712
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Country | US
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Telephone | 956-787-0075
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Fax | 956-787-0079
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Provider Business Mailing Address
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Address Line | 4711 S ALAMO RD SUITE 105
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City | EDINBURG
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State | TX
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Zip | 78542-3711
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Country | US
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Telephone | 956-787-0075
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Fax | 956-787-0079
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | SELINA VELA
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Credential |
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Telephone | 361-442-7040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27510
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License Number State | TX
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