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General NPI Number Information
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NPI Number | 1548799901
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Entity Type | Organization
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Legal Business Name | K MED PHARMACY
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11900 BARRYKNOLL #6109
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 832-834-7998
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Fax | 346-204-4164
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Provider Business Mailing Address
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Address Line | 11900 BARRYKNOLL LN APT 6109
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City | HOUSTON
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State | TX
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Zip | 77024-4388
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Country | US
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Telephone | 832-834-7998
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Fax | 346-204-4164
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Authorized Official
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Title or Position | OWNER
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Name | ROQUEL TURNER
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Credential |
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Telephone | 832-549-7003
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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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