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General NPI Number Information
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NPI Number | 1447836374
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Entity Type | Organization
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Legal Business Name | CAPITAL APOTHECARY, LLC
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 2802 GARTH RD STE 101
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City | BAYTOWN
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State | TX
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Zip | 77521-3924
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Country | US
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Telephone | 281-764-6135
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Fax | 832-872-2436
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Provider Business Mailing Address
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Address Line | 1319 RICHMOND AVE UNIT 667603
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City | HOUSTON
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State | TX
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Zip | 77266-0073
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Country | US
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Telephone | 281-478-9044
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Fax | 832-539-8838
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Authorized Official
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Title or Position | PRINCIPAL
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Name | CHASITY TEZENO
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Credential |
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Telephone | 832-306-0012
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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 | 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 #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 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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