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General NPI Number Information
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NPI Number | 1588975171
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Entity Type | Organization
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Legal Business Name | JOLANTO CORPORATION
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 10101 SOUTHWEST FREEWAY STE 315
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City | HOUSTON
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State | TX
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Zip | 77074-1624
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Country | US
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Telephone | 832-358-8500
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Fax | 832-358-8539
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Provider Business Mailing Address
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Address Line | 10101 SOUTHWEST FWY STE 315
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City | HOUSTON
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State | TX
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Zip | 77074-1126
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Country | US
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Telephone | 832-358-8500
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Fax | 832-358-8539
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. LAN VU
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Credential | PHARM D.
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Telephone | 832-358-8500
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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 | TX
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