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General NPI Number Information
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NPI Number | 1477742385
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Entity Type | Organization
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Legal Business Name | THE PFLUGERVILLE PHARMACY
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 15608 SPRING HILL LN 114
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3312
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Country | US
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Telephone | 512-990-5226
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Fax | 512-251-5762
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Provider Business Mailing Address
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Address Line | 15608 SPRING HILL LN 114
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3312
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Country | US
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Telephone | 512-990-5226
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Fax | 512-251-5762
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MR. JAMES KELLY ONEIL
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Credential | R.PH.
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Telephone | 512-990-5226
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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 | 13613
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License Number State | TX
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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 | 13613
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License Number State | TX
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