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General NPI Number Information
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NPI Number | 1700104684
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Entity Type | Organization
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Legal Business Name | PHARMACARE TEXAS, INC.
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 9101 LAKEVIEW PKWY SUITE 500
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City | ROWLETT
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State | TX
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Zip | 75088-4569
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Country | US
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Telephone | 469-225-0748
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Fax | 469-225-9509
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Provider Business Mailing Address
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Address Line | 9101 LAKEVIEW PKWY SUITE 500
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City | ROWLETT
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State | TX
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Zip | 75088-4569
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Country | US
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Telephone | 469-225-0748
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Fax | 469-225-9509
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Authorized Official
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Title or Position | SEC.
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Name | KEVIN KUYKENDALL
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Credential |
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Telephone | 469-225-0748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 26978
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License Number State | TX
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