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General NPI Number Information
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NPI Number | 1720711559
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Entity Type | Organization
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Legal Business Name | VENUS SPECIALTY PHARMACY LLC
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 800 RIVERWOOD CT STE 104
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City | CONROE
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State | TX
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Zip | 77304-2824
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Country | US
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Telephone | 936-320-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 800 RIVERWOOD CT STE 104
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City | CONROE
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State | TX
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Zip | 77304-2824
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Country | US
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Telephone | 936-320-0333
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Fax |
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Authorized Official
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Title or Position | CHIEF OFFICER
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Name | MR. GURPREET SINGH GILL
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Credential |
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Telephone | 936-320-0333
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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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