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General NPI Number Information
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NPI Number | 1396366449
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Entity Type | Organization
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Legal Business Name | HEALTH GURU RX CORP
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 107A EAST ST
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City | HUTTO
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State | TX
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Zip | 78634-4323
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Country | US
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Telephone | 512-846-6004
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Fax | 512-856-9499
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Provider Business Mailing Address
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Address Line | 409 W FRONT ST STE 100-231
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City | HUTTO
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State | TX
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Zip | 78634-4204
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Country | US
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Telephone | 512-846-6004
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. MOHAMED SAJID SADIQ SHAIKH
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Credential | PHARM.D
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Telephone | 512-846-6002
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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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