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General NPI Number Information
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NPI Number | 1750270427
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Entity Type | Organization
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Legal Business Name | MH PHARMACY LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2600 10TH ST WICHITA FALLS TX 76309
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City | WICHITA FALLS
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State | TX
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Zip | 76309
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Country | US
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Telephone | 940-723-6060
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Fax | 940-723-6060
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Provider Business Mailing Address
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Address Line | PO BOX 4014
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City | WICHITA FALLS
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State | TX
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Zip | 76308-0014
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Country | US
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Telephone | 405-306-9118
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Fax | 405-306-9118
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK HANSEN
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Credential | PHARM.D.
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Telephone | 940-723-6060
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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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