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General NPI Number Information
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NPI Number | 1568859122
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Entity Type | Organization
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Legal Business Name | AMERICAN SPECIALTY PHARMACY INC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 1300 3RD ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2208
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Country | US
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Telephone | 361-221-4778
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Fax | 361-237-1748
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Provider Business Mailing Address
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Address Line | 13988 DIPLOMAT DR STE 100
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City | FARMERS BRANCH
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State | TX
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Zip | 75234
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Country | US
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Telephone | 214-919-2520
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Fax | 214-919-2524
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Authorized Official
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Title or Position | OWNER/PRESIDENT/AO
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Name | ABDUL HAMEED
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Credential |
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Telephone | 214-919-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29804
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License Number State | TX
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