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General NPI Number Information
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NPI Number | 1699761452
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Entity Type | Organization
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Legal Business Name | J & A MEDICAL CENTER PHARMACY LLC
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6703 MCPHERSON RD
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City | LAREDO
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State | TX
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Zip | 78041-6404
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Country | US
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Telephone | 956-717-3839
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Fax | 956-717-2749
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Provider Business Mailing Address
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Address Line | 6703 MCPHERSON RD
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City | LAREDO
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State | TX
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Zip | 78041-6404
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Country | US
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Telephone | 956-717-3839
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Fax | 956-717-2749
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Authorized Official
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Title or Position | CO-OWNER/MANAGER
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Name | MR. AL J CHAPA
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Credential |
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Telephone | 956-717-3839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 1000361
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License Number State | TX
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