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General NPI Number Information
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NPI Number | 1790078814
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Entity Type | Organization
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Legal Business Name | BARBOUR NEIGHBORHOOD PHARMACY LLC
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 2910 ANTOINE DR STE A
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City | HOUSTON
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State | TX
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Zip | 77092-7062
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Country | US
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Telephone | 713-263-9640
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Fax | 713-263-9645
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Provider Business Mailing Address
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Address Line | 2910 ANTOINE DR STE A 107
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City | HOUSTON
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State | TX
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Zip | 77092-7062
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Country | US
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Telephone | 713-263-9640
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Fax | 713-263-9645
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Authorized Official
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Title or Position | OWNER
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Name | HOWARD BARBOUR
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Credential |
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Telephone | 979-451-0807
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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 | 27467
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License Number State | TX
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