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General NPI Number Information
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NPI Number | 1841298882
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Entity Type | Organization
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Legal Business Name | BRENHAM DRUG PARTNERS LC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 2103 S DAY ST
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City | BRENHAM
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State | TX
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Zip | 77833-5512
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Country | US
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Telephone | 979-836-8500
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Fax | 979-836-2277
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Provider Business Mailing Address
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Address Line | PO BOX 2407
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City | SHERMAN
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State | TX
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Zip | 75091-2407
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Country | US
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Telephone | 903-893-0677
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Fax | 903-893-3639
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Authorized Official
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Title or Position | VP
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Name | JOHN STOGNER
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Credential |
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Telephone | 903-893-0677
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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 |
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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 | 27131
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License Number State | TX
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