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General NPI Number Information
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NPI Number | 1598887531
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Entity Type | Organization
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Legal Business Name | PERSONAL PHARMACY CONSULTANTS, LLC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 420 PINSON RD
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City | FORNEY
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State | TX
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Zip | 75126-9766
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Country | US
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Telephone | 972-564-9000
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Fax | 972-564-9018
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Provider Business Mailing Address
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Address Line | 420 PINSON RD
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City | FORNEY
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State | TX
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Zip | 75126-9766
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Country | US
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Telephone | 972-564-9000
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Fax | 972-564-9018
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT CLEMENS
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Credential | RPH
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Telephone | 972-564-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 22967
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License Number State | TX
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