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General NPI Number Information
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NPI Number | 1386149326
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Entity Type | Organization
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Legal Business Name | MIDLOTHIAN COMMUNITY PHARMACY LLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 9550 MIDLOTHIAN TPKE UNIT 119
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4900
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Country | US
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Telephone | 804-220-1408
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Fax | 888-225-6632
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Provider Business Mailing Address
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Address Line | 1535 WEST LOOP S SUITE 410
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City | HOUSTON
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State | TX
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Zip | 77027-9512
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Country | US
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Telephone | 804-220-1408
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Fax | 888-225-6632
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Authorized Official
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Title or Position | OFFICER
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Name | SHEHZAD ROOPANI
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Credential |
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Telephone | 804-220-1408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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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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