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General NPI Number Information
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NPI Number | 1942790530
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Entity Type | Organization
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Legal Business Name | THE OTHER GUYS PHARMACY, INC.
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 1116 E 8TH ST STE 1
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City | WESLACO
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State | TX
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Zip | 78596-7288
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Country | US
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Telephone | 956-405-3232
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Fax | 956-405-3231
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Provider Business Mailing Address
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Address Line | 1305 W VILLA ST
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City | PHARR
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State | TX
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Zip | 78577-9359
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Country | US
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Telephone | 956-460-1834
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Fax |
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Authorized Official
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Title or Position | PHARMD
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Name | SEM GARZA
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Credential |
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Telephone | 956-460-1834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 32059
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License Number State | TX
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