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General NPI Number Information
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NPI Number | 1437855434
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Entity Type | Organization
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Legal Business Name | ALCHEMY WELLNESS SOLUTIONS LLC
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 10501 QUAKER AVE STE 300
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City | LUBBOCK
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State | TX
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Zip | 79424-8312
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Country | US
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Telephone | 806-370-7311
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Fax |
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Provider Business Mailing Address
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Address Line | 10501 QUAKER AVE STE 300
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City | LUBBOCK
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State | TX
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Zip | 79424-8312
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Country | US
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Telephone | 806-370-7311
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISTINE ISAACSON
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Credential | PHARM.D./RPH
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Telephone | 806-373-7311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #6
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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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