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General NPI Number Information
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NPI Number | 1730707563
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Entity Type | Organization
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Legal Business Name | MESQUITE PHARMACY LLC
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 1320 NORTH GALLOWAY AVE SUITE 102
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City | MESQUITE
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State | TX
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Zip | 75149
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Country | US
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Telephone | 972-285-1761
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Fax | 972-285-1799
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Provider Business Mailing Address
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Address Line | 1320 NORTH GALLOWAY AVE SUITE 102
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City | MESQUITE
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State | TX
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Zip | 75149
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Country | US
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Telephone | 972-285-1761
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Fax | 972-285-1799
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Authorized Official
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Title or Position | OWNER
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Name | ALPESH PATEL
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Credential |
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Telephone | 813-304-2221
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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 |
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License Number State |
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