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General NPI Number Information
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NPI Number | 1841331600
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Entity Type | Organization
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Legal Business Name | VELAS PHARMACY
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 2000 S MCCOLL RD STE A
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City | MCALLEN
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State | TX
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Zip | 78503-1501
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Country | US
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Telephone | 956-631-8352
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Fax | 956-631-0555
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Provider Business Mailing Address
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Address Line | 2000 S MCCOLL RD
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City | MCALLEN
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State | TX
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Zip | 78503-1501
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Country | US
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Telephone | 956-631-8352
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Fax | 956-631-0555
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. FABIAN VELA
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Credential | RPH
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Telephone | 956-631-8352
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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 | 20597
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License Number State | TX
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