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General NPI Number Information
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NPI Number | 1407482599
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Entity Type | Organization
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Legal Business Name | TOT PHARMACY LLC
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 656 W. BRAZOS DRIVE
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City | WEST COLUMBIA
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State | TX
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Zip | 77486-7748
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Country | US
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Telephone | 979-345-3925
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Fax | 979-345-3926
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Provider Business Mailing Address
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Address Line | 7922 N. MACARTHUR BLVD # 1073
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City | IRVING
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State | TX
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Zip | 75063-5477
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Country | US
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Telephone | 979-345-3925
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Fax | 979-345-3926
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES MCGILVEARY
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Credential |
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Telephone | 979-345-3925
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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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