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General NPI Number Information
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NPI Number | 1467968438
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Entity Type | Organization
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Legal Business Name | MERCY CARE PHARMACY INC
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 122
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City | ARLINGTON
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State | TX
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Zip | 76012-2616
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Country | US
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Telephone | 682-333-0003
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Fax | 817-549-8534
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Provider Business Mailing Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 122
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City | ARLINGTON
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State | TX
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Zip | 76012-2616
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Country | US
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Telephone | 682-333-0003
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Fax | 817-549-8534
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | SUHAIL NAWAZ HASAN MOHAMMED
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Credential |
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Telephone | 214-881-0054
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31783
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License Number State | TX
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