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General NPI Number Information
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NPI Number | 1356585004
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Entity Type | Organization
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Legal Business Name | LEADCARE PHARMACY INC
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 9908 S GESSNER DR
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City | HOUSTON
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State | TX
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Zip | 77071-1008
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Country | US
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Telephone | 713-774-8180
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Fax | 713-774-8181
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Provider Business Mailing Address
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Address Line | 9908 S GESSNER DR
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City | HOUSTON
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State | TX
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Zip | 77071-1008
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Country | US
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Telephone | 713-774-8180
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Fax | 713-774-8181
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL AZUBUIKE ANYADIKE
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Credential | B. PHARM
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Telephone | 713-774-8180
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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 | 26442
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License Number State | TX
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