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General NPI Number Information
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NPI Number | 1891214524
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Entity Type | Organization
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Legal Business Name | TEXAS PHARMACY MANAGEMENT GROUP LLC
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 3716 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1312
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Country | US
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Telephone | 806-749-6133
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Fax | 325-305-0565
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Provider Business Mailing Address
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Address Line | 3716 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1312
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Country | US
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Telephone | 806-749-6133
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Fax | 806-478-1429
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Authorized Official
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Title or Position | PIC
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Name | MICHAEL DUFFY
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Credential | PHARMD
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Telephone | 806-749-6133
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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 | 31594
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License Number State | TX
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