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General NPI Number Information
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NPI Number | 1780980862
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Entity Type | Organization
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Legal Business Name | ZALCON PHARMACY
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 9101 LAKEVIEW PKW STE. 500
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City | ROWLETT
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State | TX
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Zip | 75088
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Country | US
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Telephone | 972-412-7842
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Fax | 972-412-9884
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Provider Business Mailing Address
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Address Line | 4 TRAILSIDE CT
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City | MANSFIELD
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State | TX
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Zip | 76063-5463
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Country | US
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Telephone | 817-939-4559
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Fax |
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MRS. PRISCA N ONWUMERE
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Credential | RPH
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Telephone | 817-939-4559
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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 | 27332
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License Number State | TX
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