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General NPI Number Information
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NPI Number | 1588282057
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Entity Type | Organization
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Legal Business Name | NEUGEN PHARMACY
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 9275 RICHMOND AVE STE 114
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City | HOUSTON
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State | TX
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Zip | 77063-3949
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Country | US
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Telephone | 832-582-6247
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Fax | 832-582-6270
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Provider Business Mailing Address
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Address Line | 5806 SAWMILL BEND LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-1261
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Country | US
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Telephone | 713-256-0180
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Fax |
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Authorized Official
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Title or Position | PIC/OWNNER
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Name | ANTHONY E EJIMADU
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Credential | RPH
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Telephone | 713-256-0180
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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 |
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License Number State |
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