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General NPI Number Information
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NPI Number | 1548316854
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Entity Type | Organization
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Legal Business Name | SANITARIUM DRUG CO
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 423 LIVE OAK ST
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City | MARLIN
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State | TX
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Zip | 76661-2367
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Country | US
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Telephone | 254-883-3541
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Fax | 254-883-9662
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Provider Business Mailing Address
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Address Line | 423 LIVE OAK ST
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City | MARLIN
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State | TX
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Zip | 76661-2367
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Country | US
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Telephone | 254-883-3541
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Fax | 254-882-9662
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MUFID NAJJAR
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Credential | PHARMD
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Telephone | 254-883-3541
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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 |
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License Number State |
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