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General NPI Number Information
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NPI Number | 1811247406
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Entity Type | Organization
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Legal Business Name | ELSA M MURILLO
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 3815 IRVINGTON BLVD STE E
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City | HOUSTON
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State | TX
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Zip | 77009-4843
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Country | US
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Telephone | 713-694-8399
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Fax | 713-694-8391
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Provider Business Mailing Address
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Address Line | 3815 IRVINGTON BLVD STE E
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City | HOUSTON
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State | TX
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Zip | 77009-4843
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Country | US
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Telephone | 713-694-8399
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Fax | 713-694-8391
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Authorized Official
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Title or Position | OWNER
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Name | ELSA MURILLO
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Credential |
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Telephone | 713-694-8399
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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 | 28223
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License Number State | TX
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