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General NPI Number Information
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NPI Number | 1871825976
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Entity Type | Organization
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Legal Business Name | MEGS DISCOUNT PHARMACY
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 603 SUNSET ST
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City | DENTON
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State | TX
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Zip | 76201-2665
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Country | US
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Telephone | 940-382-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 WHITE OAK CLEARING
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6930
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Country | US
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Telephone | 940-382-7520
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Fax | 940-382-7517
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Authorized Official
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Title or Position | OWNER/ PHARMACY MANAGER
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Name | DR. SUSAN JENEVIVE MEGWA
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Credential | PHARM.D
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Telephone | 661-406-7941
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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 | 26789
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 26789
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License Number State | TX
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