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General NPI Number Information
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NPI Number | 1396253621
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Entity Type | Organization
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Legal Business Name | WOODFOREST PHARMACY LLC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 404 RIVER POINTE DR STE 101
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City | CONROE
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State | TX
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Zip | 77304-2836
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Country | US
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Telephone | 832-297-0017
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Fax | 800-592-0288
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Provider Business Mailing Address
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Address Line | 404 RIVER POINTE DR STE 101
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City | CONROE
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State | TX
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Zip | 77304-2836
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Country | US
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Telephone | 832-297-0017
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Fax | 800-592-0288
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JASON JONES
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Credential |
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Telephone | 832-297-0017
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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 | 31298
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License Number State | TX
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