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General NPI Number Information
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NPI Number | 1912537127
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Entity Type | Organization
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Legal Business Name | FAMILY PHARMACY AT LAS COLINAS LLC
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Dates
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Enumeration Date | 01/16/2020
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 6555 NORTH STATE HWY 161 SUITE B
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City | IRVING
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State | TX
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Zip | 75039
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Country | US
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Telephone | 972-830-3600
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Fax | 972-830-3610
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Provider Business Mailing Address
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Address Line | 6555 NORTH STATE HWY 161 SUITE B
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City | IRVING
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State | TX
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Zip | 75039
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Country | US
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Telephone | 972-830-3600
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Fax | 972-830-3610
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Authorized Official
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Title or Position | VP
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Name | CHRIS CELLA
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Credential |
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Telephone | 508-579-3230
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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 |
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License Number State |
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