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General NPI Number Information
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NPI Number | 1578739926
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Entity Type | Organization
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Legal Business Name | R & Y COMMUNITY PHARMACY,LLC
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 12659 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77099-1331
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Country | US
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Telephone | 713-777-7002
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Fax | 713-777-7008
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Provider Business Mailing Address
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Address Line | 12659 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77099-1331
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Country | US
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Telephone | 713-777-7002
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Fax | 713-777-7008
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Authorized Official
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Title or Position | MANAGER/PHARMACIST-IN-CHARGE
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Name | DR. RIEL NDUKAEGO EMORDI
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Credential | PHARM.D
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Telephone | 713-777-7002
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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 | 26546
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License Number State | TX
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