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General NPI Number Information
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NPI Number | 1467605170
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Entity Type | Organization
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Legal Business Name | KID KARE PHARMACY
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 2201 S 23RD ST SUITE B
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City | MCALLEN
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State | TX
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Zip | 78503-5659
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Country | US
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Telephone | 956-648-8224
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 S 23RD ST SUITE B
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City | MCALLEN
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State | TX
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Zip | 78503-5659
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Country | US
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Telephone | 956-648-8224
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Fax |
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Authorized Official
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Title or Position | OWNER/PIC
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Name | MRS. MELISSA CAVAZOS GARZA
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Credential |
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Telephone | 956-648-8224
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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 | 26228
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License Number State | TX
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