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General NPI Number Information
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NPI Number | 1346469459
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Entity Type | Organization
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Legal Business Name | DANA'S PHARMACY INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 315 BURLINGTON AVE
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City | SPUR
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State | TX
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Zip | 79370
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Country | US
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Telephone | 806-271-3394
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Fax | 806-271-3631
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Provider Business Mailing Address
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Address Line | 315 BURLINGTON AVE
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City | SPUR
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State | TX
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Zip | 79370-2812
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Country | US
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Telephone | 806-271-3394
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Fax | 806-271-3631
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DANA SUE TILTON
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Credential | RPH
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Telephone | 806-271-3394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 17425
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 17425
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License Number State | TX
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