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General NPI Number Information
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NPI Number | 1750468625
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Entity Type | Organization
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Legal Business Name | MCMAKIN INC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 4225 GLADYS AVE
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City | BEAUMONT
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State | TX
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Zip | 77706-3644
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Country | US
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Telephone | 409-898-0717
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Fax | 409-899-2977
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Provider Business Mailing Address
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Address Line | 4225 GLADYS AVE
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City | BEAUMONT
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State | TX
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Zip | 77706-3644
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Country | US
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Telephone | 409-898-0717
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Fax | 409-899-2977
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Authorized Official
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Title or Position | PRESIDENT PIC
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Name | ARTHUR MCMAKIN
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Credential | B.S. PHARMACY
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Telephone | 409-898-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy 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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 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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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 26206
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License Number State | TX
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