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General NPI Number Information
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NPI Number | 1477953719
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Entity Type | Organization
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Legal Business Name | VEDA RX SERVICES INC
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 813 W WHITE ST SUITE 200
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City | ANNA
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State | TX
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Zip | 75409-2613
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Country | US
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Telephone | 972-895-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 813 W WHITE ST STE 200
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City | ANNA
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State | TX
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Zip | 75409-2613
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Country | US
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Telephone | 972-895-2450
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Fax | 972-895-2460
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | NAGA CHANDRIKA GOKARAJU
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Credential |
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Telephone | 972-895-2450
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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 | 29451
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License Number State | TX
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