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General NPI Number Information
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NPI Number | 1487090650
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Entity Type | Organization
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Legal Business Name | MEDLEY COMPOUNDING PHARMACY, LLC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 5711 BISSONNET ST STE F
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City | BELLAIRE
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State | TX
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Zip | 77401-4724
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Country | US
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Telephone | 713-838-1500
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Fax | 713-838-1505
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Provider Business Mailing Address
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Address Line | 5318 WESLAYAN ST # 187
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City | HOUSTON
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State | TX
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Zip | 77005-1048
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Country | US
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Telephone | 832-466-5000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHOBHA AGGARWAL
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Credential |
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Telephone | 832-466-5000
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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 | 28480
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License Number State | TX
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