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General NPI Number Information
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NPI Number | 1336780246
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Entity Type | Organization
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Legal Business Name | MIDLAND CARE PHARMACY LLC
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1111 N MIDKIFF RD STE A
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City | MIDLAND
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State | TX
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Zip | 79701-2120
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Country | US
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Telephone | 432-279-0912
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Fax | 432-231-0911
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Provider Business Mailing Address
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Address Line | 1111 N MIDKIFF RD STE A
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City | MIDLAND
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State | TX
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Zip | 79701-2158
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Country | US
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Telephone | 432-279-0912
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Fax | 432-231-0911
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Authorized Official
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Title or Position | PIC
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Name | SRIDHAR REDDY ENUKONDA
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Credential |
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Telephone | 432-279-0912
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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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