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NPI 1710032974

NPI 1710032974 : THE MEADOW'S PHARMACY : LEWISVILLE, TX

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General NPI Number Information
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    NPI Number           |    1710032974
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE MEADOW'S PHARMACY 
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Dates
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    Enumeration Date     |    01/25/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1301 JUSTIN RD STE 212 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75077-2184
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    Country              |    US
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    Telephone            |    972-317-3755
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    Fax                  |    972-317-0491
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Provider Business Mailing Address
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    Address Line         |    1301 JUSTIN RD STE 212 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75077-2184
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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
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    Name                 |     HAROLD  WRIGHT 
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    Credential           |    
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    Telephone            |    972-317-3755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    31502
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    34352
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    18935
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    License Number State |    TX
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