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General NPI Number Information
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NPI Number | 1629601489
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Entity Type | Organization
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Legal Business Name | GOODVALUE PHARMACY LLC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 3795 FM 3009 BLDG B SUITE 300-A
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City | SCHERTZ
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State | TX
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Zip | 78154-2711
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Country | US
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Telephone | 210-903-6822
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Fax | 210-903-6968
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Provider Business Mailing Address
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Address Line | 3401 FM 3009 STE 100
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City | SCHERTZ
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State | TX
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Zip | 78154-2711
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Country | US
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Telephone | 210-903-6822
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Fax | 210-903-6968
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Authorized Official
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Title or Position | MEMBER
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Name | AMRISH PATEL
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Credential |
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Telephone | 430-562-9003
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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 | 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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