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General NPI Number Information
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NPI Number | 1366572240
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Entity Type | Organization
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Legal Business Name | ALLEN FAMILY DRUG
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 400 N ALLEN DR STE. 102
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City | ALLEN
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State | TX
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Zip | 75013-2555
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Country | US
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Telephone | 972-390-9888
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Fax | 972-390-9889
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Provider Business Mailing Address
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Address Line | 400 N ALLEN DR STE. 102
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City | ALLEN
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State | TX
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Zip | 75013-2555
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Country | US
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Telephone | 972-390-9888
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Fax | 972-390-9889
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Authorized Official
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Title or Position | RPH
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Name | BILL R CLEMONS
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Credential |
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Telephone | 972-390-9888
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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 | 15450
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License Number State | TX
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