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General NPI Number Information
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NPI Number | 1396381935
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Entity Type | Organization
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Legal Business Name | RECEPT PHARMACY, LP
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 800 8TH AVE STE 130
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City | FORT WORTH
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State | TX
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Zip | 76104-2606
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Country | US
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Telephone | 866-326-1425
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 W NORTHWEST HWY STE 100
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City | GRAPEVINE
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State | TX
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Zip | 76051-3219
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Country | US
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Telephone | 817-572-0009
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Fax | 817-720-1039
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Authorized Official
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Title or Position | DIRECTOR, LICENSING & CREDENTIALING
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Name | TAMMIE MISKIMINS
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Credential |
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Telephone | 817-572-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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