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General NPI Number Information
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NPI Number | 1528230372
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Entity Type | Organization
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Legal Business Name | UNIQUE PHARMACEUTICALS LTD
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 5920 S GENERAL BRUCE DR
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City | TEMPLE
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State | TX
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Zip | 76502-5804
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Country | US
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Telephone | 254-933-0874
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Fax | 254-933-0875
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Provider Business Mailing Address
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Address Line | PO BOX 3094
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City | TEMPLE
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State | TX
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Zip | 76505
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Country | US
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Telephone | 254-933-0874
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Fax | 254-933-0875
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. TIMOTHY DAVID WEATHERS
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Credential | RPH
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Telephone | 254-933-4416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 20892
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License Number State | TX
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