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General NPI Number Information
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NPI Number | 1366680084
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Entity Type | Organization
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Legal Business Name | MAYFLOWER PHARMACY, INC
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 8323 SW FREEWAY SUITE 115
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-981-5900
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Fax | 713-981-5902
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Provider Business Mailing Address
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Address Line | 8323 SW FREEWAY SUITE 115
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-981-5900
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Fax | 713-981-5902
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOHN PAUL BOYCE
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Credential |
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Telephone | 281-853-6653
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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 | 26312
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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 |
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License Number State |
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