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General NPI Number Information
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NPI Number | 1538553847
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Entity Type | Organization
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Legal Business Name | THE MEDICAL CENTER PHARMACY LTD CO
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 16051 ADDISON RD #305
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City | ADDISON
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State | TX
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Zip | 75001
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Country | US
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Telephone | 972-290-1126
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Fax | 214-602-7453
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Provider Business Mailing Address
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Address Line | 16051 ADDISON RD #305
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City | ADDISON
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State | TX
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Zip | 75001
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Country | US
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Telephone | 972-290-1126
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Fax | 214-602-7453
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Authorized Official
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Title or Position | MANAGER
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Name | LINH NGUYEN
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Credential |
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Telephone | 832-643-1113
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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 | 29628
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License Number State | TX
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