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General NPI Number Information
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NPI Number | 1902056427
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Entity Type | Organization
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Legal Business Name | GENERX DISCOUNT PHARMACY INC.
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1202 W PIONEER DR STE 140
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City | IRVING
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State | TX
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Zip | 75061-7308
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Country | US
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Telephone | 972-417-8895
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Fax | 972-259-3091
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Provider Business Mailing Address
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Address Line | 1202 W PIONEER DR STE 140
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City | IRVING
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State | TX
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Zip | 75061-7308
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Country | US
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Telephone | 972-417-8895
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Fax | 927-259-3091
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOROTHY NWOSU
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Credential | PHARMACIST
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Telephone | 214-326-6541
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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 | 26265
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License Number State | TX
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