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General NPI Number Information
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NPI Number | 1891856969
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PHARMACY II
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 1221 W AIRPORT FWY STE 111
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City | IRVING
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State | TX
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Zip | 75062-6296
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Country | US
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Telephone | 972-514-1277
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Fax | 972-514-1365
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Provider Business Mailing Address
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Address Line | 2730 N STEMMONS FWY SUITE 813
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City | DALLAS
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State | TX
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Zip | 75207-2279
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Country | US
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Telephone | 214-951-0133
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Fax | 214-951-0155
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Authorized Official
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Title or Position | OWNER/RPH
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Name | PAMELA ASHU
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Credential | BSPHARM
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Telephone | 214-765-9238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 22459
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License Number State | TX
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