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General NPI Number Information
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NPI Number | 1770115131
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Entity Type | Organization
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Legal Business Name | ELIZ PHARMACY LLC
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 4800 SUGAR GROVE BLVD STE 385
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City | STAFFORD
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State | TX
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Zip | 77477-2930
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Country | US
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Telephone | 832-886-4526
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Fax | 346-874-7183
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Provider Business Mailing Address
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Address Line | 4800 SUGAR GROVE BLVD STE 385
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City | STAFFORD
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State | TX
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Zip | 77477-2930
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Country | US
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Telephone | 832-886-4526
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Fax | 346-874-7183
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Authorized Official
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Title or Position | CEO
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Name | DR. HOUSTON KENNETH WILLIGTON ACHA
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Credential | PHARMD,RPH
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Telephone | 832-518-0123
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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