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General NPI Number Information
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NPI Number | 1437197894
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Entity Type | Organization
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Legal Business Name | RLS SUPERMARKETS LLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 6464 E MOCKINGBIRD LN
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City | DALLAS
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State | TX
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Zip | 75214-2406
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Country | US
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Telephone | 214-827-4230
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Fax | 214-823-6294
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Provider Business Mailing Address
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Address Line | 6464 E MOCKINGBIRD LN
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City | DALLAS
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State | TX
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Zip | 75214-2406
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Country | US
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Telephone | 214-827-4230
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Fax | 214-823-6294
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | RAM MAGANTI
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Credential |
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Telephone | 972-227-1222
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29817
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License Number State | TX
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