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General NPI Number Information
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NPI Number | 1780025155
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Entity Type | Organization
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Legal Business Name | HEALTHCO PHARMACY CORP
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 5730 CHIMNEY ROCK RD
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City | HOUSTON
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State | TX
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Zip | 77081-2713
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Country | US
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Telephone | 713-218-6337
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Fax | 713-218-6333
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Provider Business Mailing Address
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Address Line | 5730 CHIMNEY ROCK RD
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City | HOUSTON
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State | TX
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Zip | 77081-2713
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Country | US
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Telephone | 713-218-6337
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Fax | 713-218-6333
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | BRENDA SUE RICHARDSON
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Credential | RPH
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Telephone | 713-218-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 26275
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License Number State | TX
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