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General NPI Number Information
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NPI Number | 1497878722
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS INFUSION AND SPECIALTY PHARMACY, L.L.C.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 3409 WORTH STREET SUITE 725
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City | DALLAS
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State | TX
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Zip | 75246
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Country | US
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Telephone | 214-276-5616
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Fax | 214-887-0436
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Provider Business Mailing Address
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Address Line | 3409 WORTH STREET SUITE 725
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City | DALLAS
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State | TX
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Zip | 75246
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Country | US
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Telephone | 214-276-5616
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Fax | 214-887-0436
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MR. LEON HERCHEL LOWERY
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Credential | R.PH.
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Telephone | 214-276-5617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 25670
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License Number State | TX
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