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General NPI Number Information
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NPI Number | 1366014300
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Entity Type | Organization
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Legal Business Name | HEMMANUEL PHARMACY
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 3914 N JACKSON RD
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City | PHARR
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State | TX
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Zip | 78577-7768
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Country | US
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Telephone | 956-305-2798
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Fax | 956-305-2887
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Provider Business Mailing Address
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Address Line | 3914 N JACKSON RD
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City | PHARR
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State | TX
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Zip | 78577-7768
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Country | US
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Telephone | 956-305-2798
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Fax |
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Authorized Official
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Title or Position | PHARMACISTS
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Name | DR. HEPHZIBAH BEULAH FORSAC
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Credential | PHARMD
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Telephone | 713-518-5532
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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 |
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License Number State |
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