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General NPI Number Information
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NPI Number | 1386264547
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Entity Type | Organization
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Legal Business Name | AMC PHARMACY INC.
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 2813 N COMMERCE ST STE 115
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City | FORT WORTH
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State | TX
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Zip | 76106-7245
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Country | US
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Telephone | 682-703-1523
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Fax | 682-703-2028
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Provider Business Mailing Address
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Address Line | 2813 N COMMERCE ST STE 115
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City | FORT WORTH
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State | TX
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Zip | 76106-7245
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Country | US
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Telephone | 682-703-1523
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Fax | 682-703-2028
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | SODIENYE C HART
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Credential | R.PH
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Telephone | 682-703-1523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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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