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General NPI Number Information
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NPI Number | 1619401403
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Entity Type | Organization
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Legal Business Name | TT PHARMACY
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 6430 RICHMOND AVE #425
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City | HOUSTON
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State | TX
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Zip | 77057-5917
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Country | US
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Telephone | 832-860-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 6560 FANNIN ST #1726
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City | HOUSTON
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State | TX
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Zip | 77030-2761
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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 | PHARMACY MANAGER
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Name | DR. THIEN TRAN
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Credential | PHARM.D.
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Telephone | 832-860-6883
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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 | 31352
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License Number State | TX
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