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General NPI Number Information
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NPI Number | 1578011912
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Entity Type | Organization
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Legal Business Name | BORGER PHARMACY LLC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 524 W 10TH ST
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City | BORGER
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State | TX
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Zip | 79007-2802
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Country | US
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Telephone | 806-274-9635
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Fax | 806-274-9669
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Provider Business Mailing Address
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Address Line | 524 W 10TH ST
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City | BORGER
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State | TX
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Zip | 79007-2802
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Country | US
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Telephone | 806-274-9635
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Fax | 806-274-9669
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Authorized Official
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Title or Position | OWNER, PIC, AO
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Name | STEPHANIE SPANGLER
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Credential | RPH
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Telephone | 806-274-9635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31125
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License Number State | TX
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