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General NPI Number Information
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NPI Number | 1457908782
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Entity Type | Organization
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Legal Business Name | TWIN RIVERS PHARMACY, LLC
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 7777 WARREN PKWY STE 360
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City | FRISCO
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State | TX
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Zip | 75034-6549
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Country | US
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Telephone | 972-342-9056
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 WARREN PKWY STE 360
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City | FRISCO
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State | TX
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Zip | 75034-6549
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Country | US
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Telephone | 469-388-1183
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | LAWRENCE EKANEY
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Credential |
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Telephone | 301-442-7176
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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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