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General NPI Number Information
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NPI Number | 1386118966
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Entity Type | Organization
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Legal Business Name | THE MERCY PHARMACY LLC
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 4218 SAN FELIPE ST
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City | HOUSTON
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State | TX
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Zip | 77027-2902
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Country | US
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Telephone | 833-781-8155
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Fax | 832-408-9859
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Provider Business Mailing Address
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Address Line | 4218 SAN FELIPE ST
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City | HOUSTON
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State | TX
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Zip | 77027-2902
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Country | US
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Telephone | 833-781-8155
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Fax | 832-408-9859
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Authorized Official
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Title or Position | MANAGER /OFFICER
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Name | OMAR KHAN
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Credential |
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Telephone | 833-781-8155
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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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