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General NPI Number Information
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NPI Number | 1831491208
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Entity Type | Organization
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Legal Business Name | WILLIAMS LEGACY UNLIMITED LLC
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 13734 SH FM 249 SUITE C
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City | HOUSTON
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State | TX
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Zip | 77086
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Country | US
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Telephone | 281-591-0900
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Fax | 281-591-0907
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Provider Business Mailing Address
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Address Line | 13734 SH FM 249 SUITE C
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City | HOUSTON
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State | TX
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Zip | 77086
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Country | US
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Telephone | 281-591-0900
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Fax | 281-591-0907
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Authorized Official
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Title or Position | OWNER
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Name | JAMARCUS WILLIAMS
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Credential |
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Telephone | 281-591-0900
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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 | 27369
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License Number State | TX
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