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General NPI Number Information
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NPI Number | 1609456870
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Entity Type | Organization
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Legal Business Name | TEXAS PLUS PHARMACY LLC
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 3616 BROADWAY ST
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City | GALVESTON
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State | TX
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Zip | 77550-4037
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Country | US
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Telephone | 409-356-9520
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Fax |
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Provider Business Mailing Address
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Address Line | 2718 RAVENS CREEK DR
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City | PEARLAND
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State | TX
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Zip | 77584-1683
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NANDAN KUMAR
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Credential | RPH
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Telephone | 409-356-9520
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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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