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General NPI Number Information
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NPI Number | 1609881390
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Entity Type | Organization
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Legal Business Name | D & S PHARMACY
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3500 NE 24TH AVE
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City | AMARILLO
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State | TX
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Zip | 79107-6920
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Country | US
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Telephone | 806-383-3377
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Fax | 806-383-9618
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Provider Business Mailing Address
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Address Line | 3500 NE 24TH AVE
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City | AMARILLO
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State | TX
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Zip | 79107-6920
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Country | US
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Telephone | 806-383-3377
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Fax | 806-383-9618
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. DONALD G MOORE
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Credential | RPH
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Telephone | 806-383-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 110619
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License Number State | TX
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