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General NPI Number Information
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NPI Number | 1760700249
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Entity Type | Organization
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Legal Business Name | TREND PHARMACY
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 724 FM 1960 SUITE A
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City | HOUSTON
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State | TX
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Zip | 77090
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Country | US
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Telephone | 281-453-0533
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Fax | 281-453-0536
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Provider Business Mailing Address
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Address Line | 724 FM 1960 SUITE A
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City | HOUSTON
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State | TX
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Zip | 77090
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Country | US
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Telephone | 281-453-0533
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Fax | 281-453-0536
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. EDWIN AMOBI NDUKWE
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Credential | PHARMD
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Telephone | 281-453-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 26910
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License Number State | TX
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