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General NPI Number Information
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NPI Number | 1679096903
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Entity Type | Organization
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Legal Business Name | COLUMBUS PHARMACY LLC
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1206 FANNIN ST
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City | COLUMBUS
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State | TX
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Zip | 78934-2238
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Country | US
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Telephone | 361-798-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 FANNIN ST
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City | COLUMBUS
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State | TX
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Zip | 78934-2238
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Country | US
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Telephone | 361-798-5010
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | PAULA H GRAHMANN
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Credential | PHARMD
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Telephone | 361-798-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 31509
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 31509
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31509
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License Number State | TX
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