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General NPI Number Information
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NPI Number | 1881789022
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Entity Type | Organization
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Legal Business Name | MARITIME PHARMACY
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 900 BROADWAY ST
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City | HOUSTON
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State | TX
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Zip | 77012-2127
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Country | US
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Telephone | 713-921-1052
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Fax | 713-926-4352
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Provider Business Mailing Address
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Address Line | PO BOX 272327
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City | HOUSTON
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State | TX
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Zip | 77277-2327
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Country | US
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Telephone | 713-921-1052
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Fax | 713-926-4352
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. UMALINEE PINWATANA
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Credential |
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Telephone | 713-921-1052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19801
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License Number State | TX
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