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General NPI Number Information
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NPI Number | 1689104820
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Entity Type | Organization
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Legal Business Name | PEARLAND UNICARE PHARMACY LLC
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 500 N KOBAYASHI RD. STE D&E
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City | WEBSTER
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State | TX
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Zip | 77598-4707
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Country | US
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Telephone | 281-724-0531
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Fax | 832-284-4857
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Provider Business Mailing Address
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Address Line | 3569 BUSINESS CENTER DR STE 110
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City | PEARLAND
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State | TX
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Zip | 77584-1913
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Country | US
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Telephone | 713-360-6854
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Fax | 832-284-4857
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Authorized Official
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Title or Position | OWNER
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Name | DR. DALIA HUSSEIN ABDELHALIM
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Credential | PHARMACIST
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Telephone | 713-360-6854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 31421
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31421
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License Number State | TX
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