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General NPI Number Information
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NPI Number | 1962715409
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Entity Type | Organization
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Legal Business Name | ALPHA PHARMACY, LLC
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 11002 SCARSDALE BLVD STE C
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City | HOUSTON
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State | TX
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Zip | 77089-5973
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Country | US
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Telephone | 281-481-3366
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Fax | 281-220-6441
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Provider Business Mailing Address
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Address Line | 2709 PEBBLE CREEK DR
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City | PEARLAND
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State | TX
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Zip | 77581-4483
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Country | US
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Telephone | 832-725-7256
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | LOI VU
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Credential |
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Telephone | 832-725-7256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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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 #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 26930
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License Number State | TX
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