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General NPI Number Information
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NPI Number | 1952468308
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Entity Type | Organization
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Legal Business Name | ACE PHARMACY INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 5631 TELEPHONE RD STE C
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City | HOUSTON
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State | TX
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Zip | 77087
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Country | US
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Telephone | 713-640-9682
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Fax | 713-640-9689
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Provider Business Mailing Address
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Address Line | 3014 GARROW ST
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City | HOUSTON
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State | TX
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Zip | 77003-2364
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Country | US
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Telephone | 713-204-8753
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Fax | 713-640-9689
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Authorized Official
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Title or Position | OWNER
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Name | VERONICA ACEVEDO
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Credential | RPH
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Telephone | 713-640-9682
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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 | 25266
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License Number State | TX
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