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General NPI Number Information
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NPI Number | 1790914968
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Entity Type | Organization
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Legal Business Name | CHRISCO PHARMACY
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 9623 SOUTHWEST FREEWAY
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-776-8200
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Fax | 713-776-8201
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Provider Business Mailing Address
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Address Line | 15415 WAUMSLEY WAY
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City | SUGARLAND
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State | TX
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Zip | 77498
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Country | US
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Telephone | 713-776-8200
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Fax | 713-776-8201
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. CHRISTOPHER OBAZE
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Credential | PHARM.D.
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Telephone | 713-776-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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