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General NPI Number Information
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NPI Number | 1902273980
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Entity Type | Organization
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Legal Business Name | INFINITY PHARMACY, LLC
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 3313 ESSEX DR STE 100
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City | RICHARDSON
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State | TX
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Zip | 75082-9714
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Country | US
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Telephone | 214-765-5470
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Fax | 214-765-5466
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Provider Business Mailing Address
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Address Line | 3313 ESSEX DR STE 200
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City | RICHARDSON
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State | TX
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Zip | 75082-9714
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Country | US
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Telephone | 214-765-5470
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Fax | 214-765-5466
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Authorized Official
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Title or Position | CEO / MANAGER
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Name | DOUGLAS BRYAN SMOCK
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Credential |
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Telephone | 214-765-5457
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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 | 30159
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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