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NPI 1841185170

NPI 1841185170 : SAVANNAH ARNOLD PHARMACIST INTERN : COLLEGE STATION, TX

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General NPI Number Information
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    NPI Number           |    1841185170
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    Entity Type          |    Individual 
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    Provider Name        |    SAVANNAH ARNOLD PHARMACIST INTERN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/09/2025
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    11675 FM 2154 RD 
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    City                 |    COLLEGE STATION
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    State                |    TX
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    Zip                  |    77845-4737
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    Country              |    US
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    Telephone            |    832-600-2706
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2117 JAX DR 
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    City                 |    COLLEGE STATION
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    State                |    TX
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    Zip                  |    77845-2139
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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    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183700000X
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    Taxonomy Name        |    Pharmacy Technician
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    License Number       |    43824
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    License Number State |    TX
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