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General NPI Number Information
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NPI Number | 1922904507
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Entity Type | Organization
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Legal Business Name | LEGACY COMMUNITY HEALTH SERVICES PHARMACY - PASADENA
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Dates
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Enumeration Date | 10/19/2026
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Last Update Date | 10/19/2026
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Provider Practice Location Address
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Address Line | 1951 SOUTHMORE AVE SUITE 100
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City | PASADENA
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State | TX
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Zip | 77502
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Country | US
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Telephone | 713-814-3450
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Fax | 832-400-1095
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Provider Business Mailing Address
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Address Line | 1951 SOUTHMORE AVE SUITE 100
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City | PASADENA
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State | TX
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Zip | 77502
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Country | US
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Telephone | 713-814-3450
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Fax | 832-400-1095
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | THANIA MUNOZ
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Credential | PHARMD
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Telephone | 713-261-9917
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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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