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General NPI Number Information
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NPI Number | 1841357167
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Entity Type | Organization
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Legal Business Name | SAIGON HOUSTON PHARMACY LLC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 8388 W SAM HOUSTON PKWY S STE 186
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City | HOUSTON
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State | TX
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Zip | 77072-5079
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Country | US
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Telephone | 281-564-5400
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Fax | 281-564-5404
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Provider Business Mailing Address
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Address Line | 8388 W SAM HOUSTON PKWY S STE 186
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City | HOUSTON
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State | TX
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Zip | 77072-5079
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Country | US
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Telephone | 281-564-5400
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Fax | 281-564-5404
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Authorized Official
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Title or Position | OWNER AND PIC
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Name | KIMBERLY TRUONG
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Credential |
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Telephone | 832-451-7296
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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 | 25364
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License Number State | TX
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