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General NPI Number Information
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NPI Number | 1740479930
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Entity Type | Organization
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Legal Business Name | SOUTHERN FAMILY PHARMACY INC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 9432 KATY FWY STE 200
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City | HOUSTON
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State | TX
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Zip | 77055-6349
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Country | US
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Telephone | 713-464-5343
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Fax | 713-935-0649
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Provider Business Mailing Address
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Address Line | 9432 KATY FWY STE 200
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City | HOUSTON
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State | TX
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Zip | 77055-6349
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Country | US
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Telephone | 713-464-5343
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Fax | 713-935-0649
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | BARBARA TOMASZEWSKLI
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Credential | RPH
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Telephone | 713-464-5343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 19860
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License Number State | TX
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