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General NPI Number Information
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NPI Number | 1831456029
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Entity Type | Organization
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Legal Business Name | RUIZ PHARMACY
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 1405 E JEFFERSON ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5755
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Country | US
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Telephone | 956-546-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 E JEFFERSON ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5755
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | RODOLFO C RUIZ SR.
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Credential |
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Telephone | 956-546-0500
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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 | 16685
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License Number State | TX
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