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General NPI Number Information
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NPI Number | 1598323263
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Entity Type | Organization
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Legal Business Name | MY CHOICE PHARMACY
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 8008 CAMP BOWIE WEST BLVD STE 111
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City | FORT WORTH
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State | TX
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Zip | 76116-6300
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Country | US
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Telephone | 888-926-9268
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Fax | 855-258-2542
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Provider Business Mailing Address
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Address Line | 3537 W 7TH ST STE 4A
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City | FORT WORTH
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State | TX
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Zip | 76107-2505
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Country | US
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Telephone | 888-926-9268
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Fax | 855-258-2542
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PRESTON HALL
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Credential | PHARMD
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Telephone | 888-926-9268
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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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