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General NPI Number Information
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NPI Number | 1669901856
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Entity Type | Organization
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Legal Business Name | FRISCO PHARMACY LLC
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 14550 SH-121 SUITE 150
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 469-305-7058
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Fax | 469-305-7061
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Provider Business Mailing Address
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Address Line | 14550 SH-121 SUITE 150
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 469-305-7058
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Fax | 469-305-7061
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | PHUONG CHAU THI TRAN
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Credential | PHARM.D.
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Telephone | 469-305-7059
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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 | 31419
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License Number State | TX
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