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General NPI Number Information
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NPI Number | 1568755791
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Entity Type | Organization
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Legal Business Name | LYONS PHARMACY,LLC
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 5602 LYONS AVE STE 610
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City | HOUSTON
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State | TX
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Zip | 77020-4730
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Country | US
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Telephone | 713-675-9667
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Fax | 713-675-9672
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Provider Business Mailing Address
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Address Line | 5602 LYONS AVE STE 610
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City | HOUSTON
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State | TX
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Zip | 77020-4730
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Country | US
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Telephone | 713-675-9667
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Fax | 713-675-9672
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MS. TRACEY L BENSON
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Credential | PHARM.D.
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Telephone | 832-264-7632
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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 | 27501
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License Number State | TX
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