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General NPI Number Information
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NPI Number | 1447728423
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Entity Type | Organization
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Legal Business Name | PROVIDENCE PHARMACY & MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 9525 BISSONNET ST STE 250
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City | HOUSTON
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State | TX
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Zip | 77036-8028
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Country | US
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Telephone | 832-623-7554
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Fax | 832-832-5693
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Provider Business Mailing Address
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Address Line | 9525 BISSONNET ST STE 250
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City | HOUSTON
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State | TX
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Zip | 77036-8028
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMMANUEL ORUSAKWE
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Credential |
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Telephone | 832-623-7554
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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 |
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License Number State |
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