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General NPI Number Information
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NPI Number | 1801835269
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Entity Type | Organization
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Legal Business Name | COVERMYMEDS PHARMACY LLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 845 REGENT BLVD., STE. 100A / 100B
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City | IRVING
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State | TX
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Zip | 75063
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Country | US
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Telephone | 888-479-6337
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Fax | 866-423-2979
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Provider Business Mailing Address
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Address Line | PO BOX 3918
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City | COPPELL
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State | TX
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Zip | 75019-4311
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Country | US
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Telephone | 888-479-6337
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Fax |
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Authorized Official
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Title or Position | PRESIDENT; MANAGER
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Name | MR. DERRICK ALAN STURGILL
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Credential |
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Telephone | 513-465-4992
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 25039
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License Number State | TX
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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