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General NPI Number Information
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NPI Number | 1588734180
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Entity Type | Organization
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Legal Business Name | MODERN AUTOMATED PHARMACY, PLLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 13939 WESTHEIMER RD STE 101-A
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City | HOUSTON
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State | TX
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Zip | 77077-5358
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Country | US
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Telephone | 713-660-9091
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Fax | 713-660-9092
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Provider Business Mailing Address
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Address Line | 13939 WESTHEIMER RD STE 101-A
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City | HOUSTON
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State | TX
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Zip | 77077-5358
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Country | US
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Telephone | 713-660-9091
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Fax | 713-660-9092
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | DR. NIKKI N AJIEREN
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Credential | R.PH. PHARMD
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Telephone | 713-660-9091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 28046
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License Number State | TX
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