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General NPI Number Information
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NPI Number | 1407917495
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Entity Type | Organization
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Legal Business Name | FAMILY PHARMACY, INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 2418 SOUTHMORE
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City | PASADENA
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State | TX
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Zip | 77502
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Country | US
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Telephone | 713-472-3138
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Fax | 713-472-2029
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Provider Business Mailing Address
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Address Line | 2418 SOUTHMORE
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City | PASADENA
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State | TX
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Zip | 77502
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Country | US
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Telephone | 713-472-3138
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Fax | 713-472-2029
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | JONATHAN BAKER
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Credential |
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Telephone | 713-472-3138
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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 | 22808
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License Number State | TX
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