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General NPI Number Information
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NPI Number | 1629465018
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Entity Type | Organization
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Legal Business Name | KIMSA HEALTH CARE INC.
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 3926 AVENUE H STE 2
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City | ROSENBERG
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State | TX
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Zip | 77471-2842
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Country | US
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Telephone | 832-945-5611
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Fax | 877-610-2820
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Provider Business Mailing Address
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Address Line | 3926 AVENUE H STE 2
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City | ROSENBERG
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State | TX
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Zip | 77471-2842
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Country | US
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Telephone | 832-945-5611
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Fax | 877-610-2820
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | PRISCA EKEOMA NWOSU
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Credential | RPH
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Telephone | 281-885-9829
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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 | 29957
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License Number State | TX
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