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General NPI Number Information
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NPI Number | 1710074745
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Entity Type | Organization
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Legal Business Name | PARTNERS PHARMACY OF TEXAS, LLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 12503 EXCHANGE DR SUITE 536
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City | STAFFORD
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State | TX
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Zip | 77477-3699
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Country | US
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Telephone | 713-747-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 50 LAWRENCE RD
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-3121
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Country | US
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Telephone | 908-931-7111
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JAMES MATTHEWS
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Credential |
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Telephone | 609-206-2664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 30029
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License Number State | TX
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