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General NPI Number Information
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NPI Number | 1851501316
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Entity Type | Organization
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Legal Business Name | NIKKI'S APOTHECARY, LLC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 8610 MARTIN LUTHER KING JR. BLVD STE. A
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City | HOUSTON
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State | TX
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Zip | 77033
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Country | US
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Telephone | 713-733-7424
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Fax | 713-733-1885
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Provider Business Mailing Address
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Address Line | 8610 MARTIN LUTHER KING JR. BLVD STE. A
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City | HOUSTON
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State | TX
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Zip | 77033
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Country | US
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Telephone | 713-733-7424
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Fax | 713-733-1885
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Authorized Official
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Title or Position | PIC/OWNER
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Name | MRS. NIGHSTY JEGHER
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Credential | RPH
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Telephone | 713-733-7424
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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 | 01676
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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 | 31875
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License Number State | TX
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