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General NPI Number Information
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NPI Number | 1386064574
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Entity Type | Organization
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Legal Business Name | COLLIN DRUGS
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Dates
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Enumeration Date | 04/26/2014
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Last Update Date | 04/26/2014
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Provider Practice Location Address
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Address Line | 600 W MCDERMOTT DR STE A
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City | ALLEN
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State | TX
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Zip | 75013-2798
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Country | US
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Telephone | 214-383-2444
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Fax | 214-383-2446
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Provider Business Mailing Address
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Address Line | 600 W MCDERMOTT DR STE A
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City | ALLEN
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State | TX
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Zip | 75013-2798
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Country | US
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Telephone | 214-383-2444
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Fax | 214-383-2446
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Authorized Official
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Title or Position | OWNER
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Name | PERVEZ T MAHMUD
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Credential |
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Telephone | 214-383-2444
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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 | 29215
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License Number State | TX
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