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General NPI Number Information
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NPI Number | 1548401698
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Entity Type | Organization
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Legal Business Name | ACCU-MED PHARMACY II LLC
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 4700 WICHERS DR SUITE 100
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City | MARRERO
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State | LA
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Zip | 70072-3054
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Country | US
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Telephone | 281-734-4571
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Fax | 504-322-7063
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Provider Business Mailing Address
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Address Line | PO BOX 2160
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City | MARRERO
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State | LA
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Zip | 70073-2160
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Country | US
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Telephone | 281-734-4571
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Fax | 504-322-7036
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Authorized Official
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Title or Position | (PIC) PHARMACIEST IN CHARGE
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Name | MR. THOMAS C HUANG
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Credential | RPH
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Telephone | 281-734-4571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 6098
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License Number State | LA
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