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General NPI Number Information
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NPI Number | 1821983867
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Entity Type | Organization
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Legal Business Name | BONHAM FAMILY DRUG, LLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 100 E SAM RAYBURN DR
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City | BONHAM
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State | TX
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Zip | 75418-4398
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Country | US
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Telephone | 903-583-7325
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Fax | 903-583-7865
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Provider Business Mailing Address
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Address Line | 100 E SAM RAYBURN DR
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City | BONHAM
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State | TX
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Zip | 75418-4398
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Country | US
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Telephone | 903-583-7325
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Fax | 903-583-7865
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Authorized Official
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Title or Position | OFFICER
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Name | JARROD BAUM
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Credential | PHARMD
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Telephone | 817-683-8304
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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