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General NPI Number Information
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NPI Number | 1831412972
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Entity Type | Organization
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Legal Business Name | QUEEN PHARMACY
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 1001 S 10TH ST SUITE H
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City | MCALLEN
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State | TX
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Zip | 78501-5049
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Country | US
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Telephone | 956-661-8881
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Fax | 956-661-8885
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Provider Business Mailing Address
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Address Line | 1616 E GRIFFIN PKWY #121
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City | MISSION
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State | TX
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Zip | 78572-3180
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Country | US
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Telephone | 956-661-8881
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Fax | 956-661-8885
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Authorized Official
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Title or Position | PHARMACIST
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Name | AMY ONUORAH
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Credential | R.PH
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Telephone | 713-498-0705
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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 | 3336C0003X
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License Number State | TX
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