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General NPI Number Information
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NPI Number | 1588072839
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Entity Type | Organization
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Legal Business Name | VALUE RX PHARMACY LLC
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 138 E LITTLE YORK RD
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City | HOUSTON
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State | TX
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Zip | 77076-1412
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Country | US
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Telephone | 281-501-3151
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Fax | 281-501-3154
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Provider Business Mailing Address
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Address Line | 138 E LITTLE YORK RD
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City | HOUSTON
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State | TX
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Zip | 77076-1412
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Country | US
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Telephone | 281-501-3151
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Fax | 281-501-3154
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Authorized Official
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Title or Position | OWNER/OFFICER
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Name | ASHLEY MIRANDA
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Credential |
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Telephone | 281-501-3151
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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 | 29124
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License Number State | TX
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