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General NPI Number Information
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NPI Number | 1821082900
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Entity Type | Organization
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Legal Business Name | HEALTHQUEST PHARMACY, INC.
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 11240 FM 1960 RD W SUITE 404
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City | HOUSTON
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State | TX
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Zip | 77065-3662
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Country | US
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Telephone | 281-893-8588
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Fax | 281-893-3385
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Provider Business Mailing Address
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Address Line | 11240 FM 1960 WEST SUITE 404
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City | HOUSTON
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State | TX
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Zip | 77065
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Country | US
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Telephone | 281-893-8588
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Fax | 281-893-3385
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Authorized Official
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Title or Position | PRESIDENT, PHARMACIST
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Name | MRS. NIRVANA HIGHTOWER
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Credential | RPH
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Telephone | 281-893-8588
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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 | 17591
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1152930001
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License Number State | TX
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