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General NPI Number Information
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NPI Number | 1790846004
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Entity Type | Organization
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Legal Business Name | LATIN AMERICAN DRUGS, INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4000 FULTON ST STE P
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City | HOUSTON
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State | TX
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Zip | 77009-4729
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Country | US
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Telephone | 713-695-4332
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Fax | 713-695-4320
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Provider Business Mailing Address
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Address Line | 4000 FULTON ST STE P
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City | HOUSTON
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State | TX
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Zip | 77009-4729
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Country | US
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Telephone | 713-695-4332
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Fax | 713-695-4320
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. SEAN P YARBROUGH
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Credential | PHARM.D.
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Telephone | 713-695-4332
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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 | 25022
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License Number State | TX
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