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General NPI Number Information
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NPI Number | 1972153914
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Entity Type | Organization
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Legal Business Name | COMPLETE SOLUTIONS RX LLC
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 145 LANARK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1821
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Country | US
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Telephone | 210-530-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 HIGHWAY 6 N STE 650
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City | HOUSTON
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State | TX
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Zip | 77079-1006
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Country | US
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Telephone | 210-530-1184
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Fax | 210-530-1186
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Authorized Official
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Title or Position | OWNER
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Name | EVELEO JOHNSON
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Credential |
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Telephone | 281-300-6626
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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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