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General NPI Number Information
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NPI Number | 1649262148
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Entity Type | Organization
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Legal Business Name | DIAMOND II DRUG INC
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 3406 INTERSTATE 27
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City | LUBBOCK
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State | TX
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Zip | 79404-2346
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Country | US
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Telephone | 806-741-1777
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Fax | 806-744-8483
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Provider Business Mailing Address
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Address Line | 3406 INTERSTATE 27
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City | LUBBOCK
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State | TX
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Zip | 79404-2346
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Country | US
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Telephone | 806-741-1777
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Fax | 806-744-8483
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Authorized Official
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Title or Position | PRESIDENT
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Name | TARUN PATEL
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Credential | RPH
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Telephone | 806-741-1777
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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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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 12428
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License Number State | TX
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