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General NPI Number Information
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NPI Number | 1912539818
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Entity Type | Organization
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Legal Business Name | GREENVILLE PHARMACY LLC
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Dates
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Enumeration Date | 02/08/2020
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 801 S GREENVILLE AVE STE 105A
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City | ALLEN
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State | TX
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Zip | 75002-3322
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Country | US
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Telephone | 469-656-1092
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Fax | 469-533-9594
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Provider Business Mailing Address
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Address Line | 801 S GREENVILLE AVE STE 105A
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City | ALLEN
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State | TX
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Zip | 75002-3322
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Country | US
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Telephone | 469-656-1092
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Fax | 469-533-9594
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | JOSHUA CHRISTOPHER PONTON
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Credential |
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Telephone | 469-656-1092
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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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