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General NPI Number Information
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NPI Number | 1932683513
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Entity Type | Organization
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Legal Business Name | A T PHARMACY MANAGEMENT, LLC
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 2101 WESTPARK CT STE 135
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City | EULESS
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State | TX
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Zip | 76040-3718
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Country | US
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Telephone | 469-809-8112
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Fax | 469-519-7517
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Provider Business Mailing Address
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Address Line | 1801 SABLE BAY LN
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City | ARLINGTON
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State | TX
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Zip | 76005-1305
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Country | US
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Telephone | 817-832-2239
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARNOLD TIEU
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Credential | PHARM.D
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Telephone | 682-628-8111
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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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