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General NPI Number Information
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NPI Number | 1750290938
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Entity Type | Organization
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Legal Business Name | FORNEY HEALTH PHARMACY LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 101 N FM 548 STE 103
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City | FORNEY
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State | TX
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Zip | 75126-5686
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Country | US
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Telephone | 817-808-1855
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 SHAMROCK GRN
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City | MESQUITE
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State | TX
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Zip | 75181-4373
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Country | US
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Telephone | 214-680-3236
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER/PIC
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Name | MEDHIN HAILE GETACHEW
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Credential | PHARM D.
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Telephone | 214-680-3236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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