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General NPI Number Information
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NPI Number | 1861568529
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Entity Type | Organization
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Legal Business Name | RETAIL INVESTORS OF TEXAS, LTD.
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 864 MAGNOLIA AVE
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City | PORT NECHES
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State | TX
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Zip | 77651-3712
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Country | US
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Telephone | 409-722-0411
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Fax | 409-727-8986
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Provider Business Mailing Address
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Address Line | PO BOX 1717
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City | NEDERLAND
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State | TX
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Zip | 77627-1717
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SKYLAR THOMPSON
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Credential |
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Telephone | 409-749-6405
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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 | 20888
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License Number State | TX
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