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General NPI Number Information
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NPI Number | 1649929878
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Entity Type | Organization
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Legal Business Name | MEDSTORK RX, LLC
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 1413 E INTERSTATE 30 STE 6
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City | GARLAND
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State | TX
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Zip | 75043-4784
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Country | US
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Telephone | 214-484-6641
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Fax | 800-616-2026
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Provider Business Mailing Address
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Address Line | 1413 E INTERSTATE 30 STE 6
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City | GARLAND
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State | TX
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Zip | 75043-4784
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Country | US
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Telephone | 214-484-6641
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Fax | 800-616-2026
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA RIGGS
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Credential |
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Telephone | 214-484-6641
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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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