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General NPI Number Information
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NPI Number | 1588551840
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Entity Type | Organization
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Legal Business Name | LT PHARMACY BUYER, LLC
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2140 JUSTIN RD STE 100
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-7163
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Country | US
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Telephone | 945-910-5465
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Fax |
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Provider Business Mailing Address
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Address Line | 317 6TH AVE
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City | DES MOINES
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State | IA
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Zip | 50309-4109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | KATE LYON
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Credential |
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Telephone | 515-231-7664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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