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General NPI Number Information
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NPI Number | 1770069973
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Entity Type | Organization
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Legal Business Name | EXPRESS PHARMACY 4 LESS
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 230 W PARKER RD # 210-B
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City | PLANO
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State | TX
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Zip | 75075-2352
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Country | US
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Telephone | 469-782-1646
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Fax | 469-782-1649
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Provider Business Mailing Address
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Address Line | 230 W PARKER RD # 210-B
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City | PLANO
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State | TX
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Zip | 75075-2352
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Country | US
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Telephone | 469-782-1646
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Fax | 469-782-1649
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Authorized Official
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Title or Position | PIC
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Name | GREGORY MAJORS
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Credential |
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Telephone | 469-782-1646
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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 | 31754
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License Number State | TX
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