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General NPI Number Information
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NPI Number | 1558739557
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Entity Type | Organization
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Legal Business Name | IMPULSE PHARMACY INCORPORATED
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 3901 AIRPORT FWY STE 116
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City | BEDFORD
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State | TX
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Zip | 76021-6117
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Country | US
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Telephone | 682-200-7869
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Fax | 817-484-4222
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Provider Business Mailing Address
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Address Line | 3901 AIRPORT FWY STE 116
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City | BEDFORD
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State | TX
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Zip | 76021-6117
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Country | US
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Telephone | 682-200-7869
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Fax | 817-484-4222
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. CAROLINE TABE
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Credential |
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Telephone | 817-657-7796
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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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