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General NPI Number Information
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NPI Number | 1720545221
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Entity Type | Organization
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Legal Business Name | UZO NEIGHBORHOOD PHARMACY INC.
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 1601 JACAMAN RD STE 102
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City | LAREDO
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State | TX
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Zip | 78041-6271
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Country | US
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Telephone | 956-568-5605
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Fax | 965-568-5544
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Provider Business Mailing Address
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Address Line | 1601 JACAMAN RD STE 102
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City | LAREDO
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State | TX
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Zip | 78041-6271
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Country | US
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Telephone | 956-568-5605
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Fax | 956-568-5544
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Authorized Official
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Title or Position | PIC/OWNER
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Name | DR. WILFRED I OBASI
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Credential | PHARM D
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Telephone | 956-568-5605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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