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General NPI Number Information
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NPI Number | 1669773172
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Entity Type | Organization
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Legal Business Name | ABC MENDIOLA ALAMO PHARMACY INC
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 115 S ALAMO RD STE B
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City | ALAMO
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State | TX
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Zip | 78516-2518
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Country | US
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Telephone | 956-781-3993
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Fax | 956-781-3922
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Provider Business Mailing Address
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Address Line | 115 S ALAMO RD STE B
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City | ALAMO
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State | TX
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Zip | 78516-2518
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Country | US
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Telephone | 956-781-3993
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Fax | 956-781-3922
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Authorized Official
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Title or Position | PIC/OWNER
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Name | AROLDO MENDIOLA
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Credential |
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Telephone | 956-584-9828
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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 | 27347
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License Number State | TX
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