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General NPI Number Information
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NPI Number | 1548667892
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Entity Type | Organization
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Legal Business Name | KHARISMA PHARMACY
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 8608 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77031-1301
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Country | US
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Telephone | 832-409-5586
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Fax | 832-409-5875
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Provider Business Mailing Address
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Address Line | 8608 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77031-1301
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Country | US
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Telephone | 832-409-5586
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Fax | 832-409-5875
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Authorized Official
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Title or Position | CLINICAL PHARMACIST
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Name | ANGELINA IHEAGWARA
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Credential | PHARM.D, M.B.A
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Telephone | 832-367-0903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 29616
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License Number State | TX
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