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General NPI Number Information
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NPI Number | 1881192185
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Entity Type | Organization
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Legal Business Name | PHARM HOUSE NEEDVILLE, LLC.
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 13400 HIGHWAY 36 STE 118B
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City | NEEDVILLE
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State | TX
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Zip | 77461-8487
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Country | US
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Telephone | 979-793-5534
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Fax | 979-793-5534
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Provider Business Mailing Address
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Address Line | PO BOX 1030
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City | NEEDVILLE
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State | TX
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Zip | 77461-1030
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Country | US
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Telephone | 979-793-5534
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Fax | 979-793-5654
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Authorized Official
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Title or Position | DELEGATED OFFICIAL
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Name | VALORIE GINGRICH
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Credential | RPH
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Telephone | 281-772-1568
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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 |
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License Number State |
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