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General NPI Number Information
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NPI Number | 1659978963
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Entity Type | Organization
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Legal Business Name | GOOD SHEPHERD PHARMACY LLC
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 8303 SOUTHWEST FWY STE 825
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City | HOUSTON
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State | TX
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Zip | 77074-1641
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Country | US
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Telephone | 832-649-8051
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Fax | 832-767-1595
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Provider Business Mailing Address
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Address Line | 8303 SOUTHWEST FWY STE 825
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City | HOUSTON
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State | TX
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Zip | 77074-1641
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Country | US
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Telephone | 832-649-8051
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Fax | 832-767-1595
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Authorized Official
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Title or Position | OFFICER
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Name | DR. MOSES UBAECHU
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Credential | PHARM D
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Telephone | 832-649-8051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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