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General NPI Number Information
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NPI Number | 1821036294
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Entity Type | Organization
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Legal Business Name | M.G. PHARMACEUTICAL, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1223 E EUCLID AVE STE 2
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4111
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Country | US
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Telephone | 210-341-8599
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Fax | 210-226-8465
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Provider Business Mailing Address
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Address Line | 1223 E EUCLID AVE STE 2
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4111
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Country | US
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Telephone | 210-341-8599
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Fax | 210-226-8465
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. MELISSA S. GUAJARDO
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Credential |
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Telephone | 210-341-8599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18802
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License Number State | TX
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