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General NPI Number Information
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NPI Number | 1669847455
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Entity Type | Organization
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Legal Business Name | OUR PHARMACY LLC
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Dates
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Enumeration Date | 12/06/2015
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 5020 LOUETTA RD STE 150A
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City | SPRING
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State | TX
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Zip | 77379-8126
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Country | US
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Telephone | 832-299-6802
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Fax | 832-998-8229
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Provider Business Mailing Address
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Address Line | 5020 LOUETTA RD STE 150A
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City | SPRING
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State | TX
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Zip | 77379-8126
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Country | US
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Telephone | 832-299-6802
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Fax | 832-998-8229
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | NNOCHIRIONYE OJIRIKA
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Credential |
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Telephone | 832-299-6802
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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 | 30367
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License Number State | TX
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