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General NPI Number Information
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NPI Number | 1801880356
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Entity Type | Organization
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Legal Business Name | TOWN & COUNTRY DRUG, INC.
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2616 N GRANDVIEW AVE
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City | ODESSA
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State | TX
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Zip | 79761-1608
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Country | US
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Telephone | 432-366-2868
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Fax | 432-366-6616
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Provider Business Mailing Address
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Address Line | PO BOX 12788
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City | ODESSA
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State | TX
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Zip | 79768-2788
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Country | US
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Telephone | 432-366-2868
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Fax | 432-366-6616
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. GARY FRANK WARREN
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Credential | RPH
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Telephone | 432-366-2868
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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 | 01102
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License Number State | TX
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