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General NPI Number Information
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NPI Number | 1649584905
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Entity Type | Organization
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Legal Business Name | A & E PHARMACY LLC
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 411 W PARKER RD
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City | HOUSTON
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State | TX
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Zip | 77091-3202
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Country | US
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Telephone | 713-609-9163
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Fax | 281-712-7795
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Provider Business Mailing Address
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Address Line | 411 W PARKER RD
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City | HOUSTON
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State | TX
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Zip | 77091-3202
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Country | US
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Telephone | 832-298-7551
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Fax | 281-712-7795
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | KAREN PARK
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Credential |
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Telephone | 713-443-9612
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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 | 27041
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License Number State | TX
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