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General NPI Number Information
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NPI Number | 1922028422
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Entity Type | Organization
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Legal Business Name | L R INC
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 6801 MCPHERSON RD SUITE 102
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City | LAREDO
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State | TX
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Zip | 78041-6402
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Country | US
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Telephone | 956-796-9600
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Fax | 956-729-9700
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Provider Business Mailing Address
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Address Line | 6801 MCPHERSON RD SUITE 102
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City | LAREDO
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State | TX
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Zip | 78041-6402
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Country | US
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Telephone | 956-796-9600
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Fax | 956-729-9700
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Authorized Official
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Title or Position | OWNER AND PHARMACIST
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Name | LEOPOLDO RUIZ
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Credential | RPH
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Telephone | 956-723-2001
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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 | 21343
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License Number State | TX
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