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General NPI Number Information
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NPI Number | 1801368311
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Entity Type | Organization
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Legal Business Name | RITE QUALITY PHARMACY LLC
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 722 SOUTH MAIN STREET
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City | ANDREWS
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State | TX
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Zip | 79714
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Country | US
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Telephone | 432-223-0600
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Fax | 432-223-0680
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Provider Business Mailing Address
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Address Line | 9900 SPECTRUM DR
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City | AUSTIN
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State | TX
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Zip | 78717-4555
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Country | US
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Telephone | 704-222-2872
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Fax | 432-223-0680
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Authorized Official
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Title or Position | OFFICER
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Name | MR. ROMAN DURNOV
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Credential |
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Telephone | 432-223-0600
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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 |
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License Number State |
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