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General NPI Number Information
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NPI Number | 1497246060
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Entity Type | Organization
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Legal Business Name | MEKASON PHARMACY , INC
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Dates
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Enumeration Date | 05/19/2018
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Last Update Date | 05/19/2018
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Provider Practice Location Address
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Address Line | 3205 W CUTHBERT AVE STE A5
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City | MIDLAND
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State | TX
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Zip | 79701-5594
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Country | US
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Telephone | 432-262-0135
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Fax | 432-262-0137
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Provider Business Mailing Address
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Address Line | 3205 W CUTHBERT AVE STE A5
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City | MIDLAND
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State | TX
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Zip | 79701-5594
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Country | US
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Telephone | 432-262-0135
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Fax | 432-262-0137
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. EMEKA ONYEMETU
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Credential | DOCTOR
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Telephone | 432-262-0135
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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 | 32068
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License Number State | TX
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