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General NPI Number Information
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NPI Number | 1679655633
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Entity Type | Organization
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Legal Business Name | MEDICAL MED-CHOICE PHARMACY, LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3001 N. 23RD ST., STE. 9
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-618-2828
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Fax | 956-618-2854
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Provider Business Mailing Address
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Address Line | PO BOX 1941
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City | EDINBURG
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State | TX
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Zip | 78540-1941
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | JAVIER PEREZ
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Credential |
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Telephone | 956-618-2828
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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 | 24435
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License Number State | TX
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