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General NPI Number Information
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NPI Number | 1346378635
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Entity Type | Organization
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Legal Business Name | TRIUMPH PHARMACY
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5501 INDEPENDENCE PKWY STE 100
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City | PLANO
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State | TX
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Zip | 75023-5469
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Country | US
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Telephone | 972-769-8800
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Fax | 972-769-8820
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Provider Business Mailing Address
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Address Line | 5501 INDEPENDENCE PKWY STE 100
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City | PLANO
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State | TX
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Zip | 75023-5469
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Country | US
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Telephone | 972-769-8800
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Fax | 972-769-8820
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Authorized Official
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Title or Position | PHARMACIST
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Name | EUGENIA AGUGUA
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Credential |
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Telephone | 972-769-8800
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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 | 19263
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License Number State | TX
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