{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PERFECT PHARMACY, LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2033 W MCDERMOTT DR",
"SecondLineMailingAddress": "STE 310",
"MailingAddressCityName": "ALLEN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-795-6213",
"MailingAddressFaxNumber": "469-795-6214",
"FirstLinePracticeLocationAddress": "2033 W MCDERMOTT DR",
"SecondLinePracticeLocationAddress": "STE 310",
"PracticeLocationAddressCityName": "ALLEN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "469-795-6213",
"PracticeLocationAddressFaxNumber": "469-795-6214",
"EnumerationDate": "11/06/2017",
"LastUpdateDate": "10/14/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLOCHO",
"AuthorizedOfficialFirstName": "CLAUDIA",
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"AuthorizedOfficialTitle": "OFFICER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "469-795-6213",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "31690",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}