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General NPI Number Information
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NPI Number | 1487942579
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Entity Type | Organization
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Legal Business Name | GALE PHARMACY INC
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 12234 SHADOW CREEK PKWY STE 4110
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City | PEARLAND
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State | TX
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Zip | 77584-7333
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Country | US
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Telephone | 281-668-6209
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Fax |
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Provider Business Mailing Address
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Address Line | 12234 SHADOW CREEK PKWY STE 4110
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City | PEARLAND
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State | TX
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Zip | 77584-7333
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MS. GHISLAINE KOUAMOU
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Credential | R.PH.
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Telephone | 281-668-6209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27492
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License Number State | TX
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