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General NPI Number Information
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NPI Number | 1770794497
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Entity Type | Organization
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Legal Business Name | PYLANT VILLAGE PHARMACY, INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 975 CORBINDALE RD SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77024-2818
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Country | US
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Telephone | 713-464-5069
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Fax | 713-464-5099
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Provider Business Mailing Address
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Address Line | 975 CORBINDALE RD SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77024-2818
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Country | US
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Telephone | 713-464-5069
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Fax | 713-464-5099
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Authorized Official
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Title or Position | PRESIDENT, PHARMACIST-IN-CHARGE
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Name | MR. PHILLIP RAY PYLANT
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Credential | RPH.
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Telephone | 713-464-5069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 04242
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License Number State | TX
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