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General NPI Number Information
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NPI Number | 1437379971
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Entity Type | Organization
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Legal Business Name | PHARMACIA HENRIQUE
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 2406 EMMETT ST STE 100
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City | DALLAS
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State | TX
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Zip | 75211-5415
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Country | US
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Telephone | 469-776-8169
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Fax | 833-357-1698
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Provider Business Mailing Address
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Address Line | 2406 EMMETT ST STE 100
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City | DALLAS
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State | TX
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Zip | 75211-5415
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Country | US
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Telephone | 469-776-8169
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Fax | 833-357-1698
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Authorized Official
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Title or Position | OWNER
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Name | HENRY EKWA NJIE
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Credential |
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Telephone | 469-776-8469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24324
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License Number State | TX
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