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General NPI Number Information
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NPI Number | 1821405556
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Entity Type | Organization
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Legal Business Name | BAKER CYPRESS PHARMACY AND HOME CARE EQUIPMENT LLC
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 705 S FRY ROAD SUITE 105
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 713-631-3117
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Fax | 713-631-3119
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Provider Business Mailing Address
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Address Line | 705 S FRY ROAD SUITE 105
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 713-631-3117
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Fax | 713-631-3119
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/MANAGING OFFIC
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Name | AGNES KELECHI OCHIAGHA
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Credential | PHARMD
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Telephone | 713-631-3117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29314
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License Number State | TX
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Taxonomy #2
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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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