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General NPI Number Information
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NPI Number | 1639205495
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Entity Type | Organization
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Legal Business Name | NBJ PHARMACY
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 7830 W GRAND PKWY S STE 160
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City | RICHMOND
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State | TX
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Zip | 77406-5817
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Country | US
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Telephone | 832-222-9450
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Fax | 832-222-9477
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Provider Business Mailing Address
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Address Line | 7830 W GRAND PKWY S STE 160
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City | RICHMOND
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State | TX
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Zip | 77406-5817
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Country | US
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Telephone | 832-222-9450
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Fax | 832-222-9477
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Authorized Official
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Title or Position | OFFICER
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Name | HYACINTHE NDRI
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Credential |
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Telephone | 832-222-9450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 24309
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License Number State | TX
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