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General NPI Number Information
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NPI Number | 1558846758
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Entity Type | Organization
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Legal Business Name | INDEPENDENT PHARMACY SERVICES,LLC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 3695 KIRBY DR STE 115
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City | PEARLAND
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State | TX
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Zip | 77584-5544
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Country | US
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Telephone | 346-571-5390
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Fax | 346-867-6353
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Provider Business Mailing Address
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Address Line | 3695 KIRBY DR STE 115
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City | PEARLAND
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State | TX
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Zip | 77584-5544
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Country | US
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Telephone | 346-571-5390
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Fax | 346-867-6353
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Authorized Official
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Title or Position | MANAGING MEMEBER
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Name | TABITHA S DAVIS
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Credential |
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Telephone | 346-571-5390
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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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