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General NPI Number Information
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NPI Number | 1336605013
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Entity Type | Organization
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Legal Business Name | VASCORE PHARMACY LLC
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 4020 SYNOTT RD STE 70A
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City | HOUSTON
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State | TX
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Zip | 77082-5216
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Country | US
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Telephone | 832-805-1531
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 HARWIN DR APT 1006
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City | HOUSTON
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State | TX
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Zip | 77036-1528
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Country | US
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Telephone | 832-805-1531
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. MWAMBO LUMA
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Credential | PHARM.D
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Telephone | 832-805-1531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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