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NPI 1477558187

NPI 1477558187 : GLOYER'S PHARMACY, INC. : TOMBALL, TX

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General NPI Number Information
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    NPI Number           |    1477558187
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    Entity Type          |    Organization 
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    Legal Business Name  |    GLOYER'S PHARMACY, INC. 
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Dates
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    Enumeration Date     |    06/17/2005
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    Last Update Date     |    04/10/2023
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Provider Practice Location Address
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    Address Line         |    1010 W MAIN ST 
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77375
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    Country              |    US
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    Telephone            |    281-351-5454
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    Fax                  |    281-351-7707
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Provider Business Mailing Address
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    Address Line         |    1010 W MAIN ST 
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77375-5526
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    Country              |    US
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    Telephone            |    281-351-5454
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    Fax                  |    281-351-7707
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Authorized Official
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    Title or Position    |    OWNER/PHARMACY MANAGER
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    Name                 |     PETE  GLOYER 
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    Credential           |    
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    Telephone            |    281-351-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    03122
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    License Number State |    TX
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