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General NPI Number Information
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NPI Number | 1760847560
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Entity Type | Organization
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Legal Business Name | TEXAS CAPITAL PHARMACEUTICAL LLC
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 8738 N LAMAR BLVD SUITE C
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City | AUSTIN
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State | TX
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Zip | 78753-5424
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Country | US
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Telephone | 512-765-5831
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Fax | 512-832-4744
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Provider Business Mailing Address
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Address Line | 8738 N LAMAR BLVD STE C
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City | AUSTIN
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State | TX
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Zip | 78753-5418
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Country | US
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Telephone | 512-765-5831
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Fax | 512-832-4744
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MRS. LOC NGUYEN
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Credential | PHARMD
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Telephone | 512-351-5890
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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 | 30359
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License Number State | TX
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