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General NPI Number Information
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NPI Number | 1902752504
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Entity Type | Organization
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Legal Business Name | PEARLAND COMPOUNDING CENTER LLC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 2743 SMITH RANCH RD STE 1702
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City | PEARLAND
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State | TX
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Zip | 77584-0186
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Country | US
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Telephone | 713-481-3622
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Fax | 281-220-6690
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Provider Business Mailing Address
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Address Line | 2743 SMITH RANCH RD STE 1702
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City | PEARLAND
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State | TX
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Zip | 77584-0186
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Country | US
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Telephone | 713-481-3622
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Fax | 281-220-6690
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Authorized Official
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Title or Position | OWNER
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Name | AMANY HEGAZY
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Credential |
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Telephone | 318-623-2558
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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