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General NPI Number Information
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NPI Number | 1871183335
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Entity Type | Organization
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Legal Business Name | ALLEN PHARMACY & WELLNESS, LLC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 945 W STACY RD STE 110
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City | ALLEN
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State | TX
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Zip | 75013-5076
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Country | US
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Telephone | 972-372-9775
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Fax | 866-871-3775
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Provider Business Mailing Address
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Address Line | 945 W STACY RD STE 110
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City | ALLEN
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State | TX
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Zip | 75013-5076
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Country | US
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Telephone | 972-372-9775
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Fax | 866-871-3775
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE/ MEMBER
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Name | DEEPA P PATTANI
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Credential | PHARMD
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Telephone | 972-372-9775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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