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General NPI Number Information
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NPI Number | 1407121411
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Entity Type | Organization
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Legal Business Name | TRIPLE A PHARMACY CORPORATION
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 11450 SPACE CENTER BLVD SUITE 101
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City | HOUSTON
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State | TX
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Zip | 77059-3641
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Country | US
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Telephone | 281-487-0607
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Fax | 281-487-0609
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Provider Business Mailing Address
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Address Line | 11450 SPACE CENTER BLVD SUITE 101
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City | HOUSTON
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State | TX
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Zip | 77059-3641
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Country | US
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Telephone | 281-487-0607
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Fax | 281-487-0609
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | BIANCA WILLIAMS
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Credential |
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Telephone | 281-487-0607
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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 | 27439
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License Number State | TX
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