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NPI 1700859857

NPI 1700859857 : PRESCRIPTION DISPENSING LABORATORIES, INC. : CEDAR PARK, TX

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General NPI Number Information
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    NPI Number           |    1700859857
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRESCRIPTION DISPENSING LABORATORIES, INC. 
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Dates
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    Enumeration Date     |    02/09/2006
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    Last Update Date     |    04/12/2024
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Provider Practice Location Address
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    Address Line         |    1513 E NEW HOPE DR BLDG E 
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    City                 |    CEDAR PARK
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    State                |    TX
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    Zip                  |    78641-5760
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    Country              |    US
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    Telephone            |    800-687-9014
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    Fax                  |    210-494-3010
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Provider Business Mailing Address
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    Address Line         |    1513 E NEW HOPE DR BLDG E 
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    City                 |    CEDAR PARK
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    State                |    TX
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    Zip                  |    78641-5760
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    Country              |    US
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    Telephone            |    800-687-9014
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    Fax                  |    210-494-3010
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Authorized Official
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    Title or Position    |    GENERAL MANAGER
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    Name                 |     RAYMOND L SOLANO 
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    Credential           |    RPH
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    Telephone            |    800-687-9014
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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       |    19531
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    License Number State |    TX
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