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General NPI Number Information
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NPI Number | 1508877150
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Entity Type | Organization
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Legal Business Name | PHARMACY ALTERNATIVES LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 5810 TRADE CENTER DR
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City | AUSTIN
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State | TX
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Zip | 78744-1368
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Country | US
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Telephone | 512-383-9229
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Fax | 866-370-4347
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Provider Business Mailing Address
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Address Line | 5810 TRADE CENTER DR BLDG 1 STE 400
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City | AUSTIN
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State | TX
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Zip | 78744-1368
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Country | US
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Telephone | 512-383-9229
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Fax | 512-383-0177
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | PAUL DELOMEL
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Credential | RPH
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Telephone | 512-383-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 99-5555
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 25077
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 22-12998
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License Number State | KS
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