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General NPI Number Information
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NPI Number | 1780475368
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Entity Type | Organization
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Legal Business Name | WHITE HEART PHARMACY INC LTC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 9720 JONES RD STE 280
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City | HOUSTON
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State | TX
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Zip | 77065-4772
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Country | US
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Telephone | 832-688-8384
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Fax | 832-688-8541
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Provider Business Mailing Address
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Address Line | 9720 JONES RD STE 280
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City | HOUSTON
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State | TX
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Zip | 77065-4772
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Country | US
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Telephone | 832-688-8384
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Fax | 832-688-8541
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Authorized Official
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Title or Position | P.I.C
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Name | ANTHONY O OBINZU
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Credential | PHARMD
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Telephone | 832-688-8384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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