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General NPI Number Information
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NPI Number | 1790208833
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Entity Type | Organization
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Legal Business Name | PHARMMED PHARMACY LLC
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 6250 WESTPARK DR STE 309
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City | HOUSTON
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State | TX
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Zip | 77057-7340
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Country | US
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Telephone | 713-534-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 6250 WESTPARK DR STE 309
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City | HOUSTON
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State | TX
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Zip | 77057-7340
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Country | US
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Telephone |
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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 | JITEN PATEL
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Credential |
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Telephone | 214-603-4114
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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 | 31517
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License Number State | TX
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