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General NPI Number Information
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NPI Number | 1831232149
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Entity Type | Organization
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Legal Business Name | MINU RX LTD
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 2918 SAN JACINTO ST
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City | HOUSTON
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State | TX
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Zip | 77004-2708
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Country | US
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Telephone | 713-523-7847
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Fax | 713-490-5538
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Provider Business Mailing Address
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Address Line | PO BOX 88410
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City | HOUSTON
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State | TX
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Zip | 77288-0410
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Country | US
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Telephone | 713-523-7847
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Fax | 713-490-5538
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Authorized Official
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Title or Position | PIC
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Name | KHYATI UNDAVIA
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Credential |
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Telephone | 713-256-0747
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 18996
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License Number State | TX
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