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General NPI Number Information
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NPI Number | 1831920966
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Entity Type | Organization
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Legal Business Name | STAFFORD PHARMACY & DME LLC
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Dates
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Enumeration Date | 08/10/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 2448 S MAIN ST
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City | STAFFORD
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State | TX
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Zip | 77477-5522
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Country | US
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Telephone | 281-969-5901
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Fax | 832-539-6278
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Provider Business Mailing Address
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Address Line | 2448 S MAIN ST
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City | STAFFORD
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State | TX
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Zip | 77477-5522
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Country | US
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Telephone | 281-969-5901
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Fax | 832-539-6278
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Authorized Official
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Title or Position | PHARMACY TECHNICIAN
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Name | FELICIA YOUNG-WILLIAMS
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Credential |
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Telephone | 281-969-5901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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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