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General NPI Number Information
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NPI Number | 1356657035
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Entity Type | Organization
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Legal Business Name | BESTAID PHARMACY AND MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 1600 N BLUEGROVE RD APT 10106
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City | LANCASTER
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State | TX
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Zip | 75134-4103
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Country | US
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Telephone | 469-248-2886
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 W PLEASANT RUN RD STE 103
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City | LANCASTER
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State | TX
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Zip | 75146-1068
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Country | US
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Telephone | 972-224-1333
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Fax | 972-224-1332
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Authorized Official
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Title or Position | PIC/ONWER
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Name | DR. EMMANUEL O AMADI
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Credential | PHARM D
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Telephone | 972-224-1333
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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