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General NPI Number Information
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NPI Number | 1346468089
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PHARMACY, LLC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 2511 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8463
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Country | US
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Telephone | 956-686-0006
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Fax | 956-686-3339
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Provider Business Mailing Address
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Address Line | 2511 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8463
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Country | US
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Telephone | 956-686-0006
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Fax | 956-686-3339
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | RAMONA SUAREZ
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Credential |
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Telephone | 956-686-0006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 24151
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License Number State | TX
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