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General NPI Number Information
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NPI Number | 1841590247
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Entity Type | Organization
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Legal Business Name | UPTOWN PHARMACY LLC
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 110 UPTOWN AVE STE B
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7563
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Country | US
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Telephone | 956-544-0238
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Fax | 956-544-0386
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Provider Business Mailing Address
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Address Line | 110 UPTOWN AVE STE B
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7563
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Country | US
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Telephone | 956-544-0238
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Fax | 956-544-0386
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. LADISLAO CARDENAS
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Credential | RPH
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Telephone | 956-793-2767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 27068
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27068
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License Number State | TX
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