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General NPI Number Information
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NPI Number | 1972748010
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Entity Type | Organization
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Legal Business Name | DORRICK INC.
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 10906 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77070-6316
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Country | US
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Telephone | 281-477-6000
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Fax | 281-477-6001
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Provider Business Mailing Address
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Address Line | 10906 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77070-6316
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Country | US
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Telephone | 281-477-6000
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Fax | 281-477-6001
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Authorized Official
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Title or Position | PHARMACIST
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Name | ENRIQUE CANTU
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Credential | RPH
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Telephone | 281-477-7728
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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 | 26112
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License Number State | TX
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