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General NPI Number Information
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NPI Number | 1417295965
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Entity Type | Organization
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Legal Business Name | ALPHA CARE PHARMACY
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 945 HILLTOP DR SUITE 100
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City | WEATHERFORD
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State | TX
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Zip | 76086-5891
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Country | US
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Telephone | 817-550-6332
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Fax | 817-550-6331
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Provider Business Mailing Address
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Address Line | 945 HILLTOP DR SUITE 100
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City | WEATHERFORD
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State | TX
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Zip | 76086-5891
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Country | US
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Telephone | 817-550-6332
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Fax | 817-550-6331
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/OWNER
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Name | DR. CATHERINE OSENI
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Credential | PHARMD
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Telephone | 817-771-3119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28409
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License Number State | TX
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