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General NPI Number Information
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NPI Number | 1679031199
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Entity Type | Organization
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Legal Business Name | FIRST ELITE PHARMACY
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 1525 S MASON RD STE 200
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City | KATY
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State | TX
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Zip | 77450-4559
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Country | US
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Telephone | 281-717-4404
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Fax | 281-717-4796
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Provider Business Mailing Address
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Address Line | PO BOX 84138
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City | HOUSTON
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State | TX
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Zip | 77284
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Country | US
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Telephone | 281-717-4404
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Fax | 281-717-4796
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Authorized Official
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Title or Position | OWNER
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Name | TUAN HOANG LUU
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Credential | DOCTOR OF PHARMACY
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Telephone | 281-717-4404
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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 |
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License Number State |
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