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General NPI Number Information
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NPI Number | 1760575112
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Entity Type | Organization
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Legal Business Name | ALMEDA PHARMACY
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 5445 ALMEDA RD
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City | HOUSTON
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State | TX
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Zip | 77004-7434
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Country | US
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Telephone | 713-533-1508
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Fax | 713-533-1577
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Provider Business Mailing Address
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Address Line | 5445 ALMEDA RD
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City | HOUSTON
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State | TX
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Zip | 77004-7434
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IYAD TARABEH
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Credential | PHARMD
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Telephone | 832-466-2596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 25244
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License Number State | TX
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