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General NPI Number Information
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NPI Number | 1548728157
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Entity Type | Organization
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Legal Business Name | SANDSRX FRISCO LLC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 10475 N COUNTY RD STE 100
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City | FRISCO
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State | TX
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Zip | 75033-3793
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Country | US
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Telephone | 469-606-0449
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Fax | 214-407-8288
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Provider Business Mailing Address
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Address Line | 10475 N COUNTY RD STE 100
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City | FRISCO
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State | TX
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Zip | 75033-3793
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Country | US
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Telephone | 469-606-0449
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Fax | 214-407-8288
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Authorized Official
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Title or Position | MANAGING OFFICER/PIC
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Name | MR. NABIL HALLAK
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Credential | RPH
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Telephone | 469-473-5357
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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 |
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License Number State |
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Taxonomy #2
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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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