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General NPI Number Information
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NPI Number | 1467509943
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Entity Type | Organization
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Legal Business Name | FD PHARMACY INC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 29810 FM 1093 RD STE B
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City | FULSHEAR
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State | TX
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Zip | 77441-3922
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Country | US
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Telephone | 281-346-2020
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Fax | 281-533-0136
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Provider Business Mailing Address
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Address Line | 29810 FM 1093 RD STE B
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City | FULSHEAR
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State | TX
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Zip | 77441-3922
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Country | US
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Telephone | 281-346-2020
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Fax | 281-533-0136
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Authorized Official
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Title or Position | PIC
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Name | FLORENCIA DIOQUINO
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Credential | RPH
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Telephone | 832-868-9170
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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 | 25344
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License Number State | TX
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