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General NPI Number Information
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NPI Number | 1861947350
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Entity Type | Organization
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Legal Business Name | SAIGON PHARMACARE
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 100 W PIONEER PKWY STE 113B
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City | ARLINGTON
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State | TX
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Zip | 76010-6129
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Country | US
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Telephone | 817-406-9093
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Fax | 817-406-9090
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Provider Business Mailing Address
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Address Line | 100 W PIONEER PKWY SUITE 113B
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City | ARLINGTON
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State | TX
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Zip | 76010-6131
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Country | US
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Telephone | 817-406-9093
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Fax | 817-406-9090
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | JASMINE VU
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Credential |
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Telephone | 817-406-9093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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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 | 31107
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License Number State | TX
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