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General NPI Number Information
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NPI Number | 1639471543
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Entity Type | Organization
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Legal Business Name | ADDIS PHARMACY INC
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 3305 S MAYHILL ROAD SUITE 101
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City | DENTON
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State | TX
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Zip | 76208
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Country | US
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Telephone | 940-382-0079
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Fax | 940-382-0002
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Provider Business Mailing Address
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Address Line | 3305 S MAYHILL ROAD SUITE 101
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City | DENTON
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State | TX
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Zip | 76208
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Country | US
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Telephone | 940-382-0079
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Fax | 940-382-0002
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Authorized Official
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Title or Position | OWNER
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Name | NOON HAMID
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Credential |
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Telephone | 940-382-0079
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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 | 27905
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License Number State | TX
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