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General NPI Number Information
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NPI Number | 1609143064
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Entity Type | Organization
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Legal Business Name | PHARMACIST ON DEMAND LLC
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 8650 SPICEWOOD SPRINGS RD STE 107
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City | AUSTIN
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State | TX
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Zip | 78759-4323
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Country | US
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Telephone | 512-249-7500
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Fax | 512-249-7512
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Provider Business Mailing Address
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Address Line | 8650 SPICEWOOD SPRINGS RD STE 107
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City | AUSTIN
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State | TX
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Zip | 78759-4323
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Country | US
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Telephone | 512-249-7500
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Fax | 512-249-7512
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Authorized Official
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Title or Position | PHARMACY OWNER/STAFF PHARMACIST
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Name | MUFID NASSIF NAJJAR
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Credential | RPH
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Telephone | 512-249-7500
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 25905
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License Number State | TX
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