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General NPI Number Information
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NPI Number | 1770861668
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Entity Type | Organization
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Legal Business Name | TRIPLE A PHARMACY
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 2025 MANGUM RD
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City | HOUSTON
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State | TX
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Zip | 77092-8529
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Country | US
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Telephone | 281-974-3713
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Fax | 281-888-2649
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Provider Business Mailing Address
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Address Line | 2025 MANGUM RD
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City | HOUSTON
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State | TX
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Zip | 77092
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Country | US
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Telephone | 281-974-3713
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Fax | 281-888-2649
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Authorized Official
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Title or Position | MANAGER
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Name | MICHAEL BOYD
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Credential |
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Telephone | 214-316-3829
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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 | 27439
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License Number State | TX
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