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General NPI Number Information
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NPI Number | 1508570284
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Entity Type | Organization
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Legal Business Name | PHARMACY THEORY LLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 11104 W AIRPORT BLVD STE 131A
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City | STAFFORD
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State | TX
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Zip | 77477-3035
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Country | US
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Telephone | 281-741-1777
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Fax | 281-741-1746
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Provider Business Mailing Address
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Address Line | 11104 W AIRPORT BLVD STE 131A
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City | STAFFORD
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State | TX
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Zip | 77477-3035
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Country | US
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Telephone | 281-741-1777
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Fax | 281-741-1746
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Authorized Official
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Title or Position | OWNER
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Name | MISS PAIGE FLOWERS
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Credential |
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Telephone | 281-636-5172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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