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General NPI Number Information
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NPI Number | 1548064249
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Entity Type | Organization
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Legal Business Name | KING'S PHARMACY OF LUMBERTON, LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 139 N LHS DR UNIT 211
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City | LUMBERTON
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State | TX
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Zip | 77657-8743
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Country | US
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Telephone | 409-755-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 139 N LHS DR UNIT 211
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City | LUMBERTON
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State | TX
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Zip | 77657-8743
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Country | US
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Telephone | 409-755-1145
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Fax |
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | KAREN ELAINE HAMBY
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Credential |
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Telephone | 409-755-1145
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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 |
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License Number State |
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