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General NPI Number Information
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NPI Number | 1376939272
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Entity Type | Organization
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Legal Business Name | C&A PHARMACEUTICAL ENTERPRISES, LLC
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 10325 LAKE JUNE RD STE 400
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City | DALLAS
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State | TX
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Zip | 75217-5312
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Country | US
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Telephone | 972-285-0152
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Fax | 972-285-0467
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Provider Business Mailing Address
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Address Line | 10325 LAKE JUNE RD STE 400
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City | DALLAS
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State | TX
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Zip | 75217-5312
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Country | US
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Telephone | 972-285-0152
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Fax | 972-285-0467
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ASHLEY MICHELLE DOWNING
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Credential |
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Telephone | 214-205-3076
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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 | TX
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