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General NPI Number Information
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NPI Number | 1972879112
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Entity Type | Organization
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Legal Business Name | KUAA INC
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 12/01/2017
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Provider Practice Location Address
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Address Line | 432 MURPHY RD
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City | STAFFORD
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State | TX
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Zip | 77477-5448
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Country | US
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Telephone | 281-969-5077
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Fax | 281-969-5079
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Provider Business Mailing Address
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Address Line | 11569 S HIGHWAY 6 PMB 111
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City | SUGAR LAND
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State | TX
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Zip | 77498-4932
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | NKEMDILIM OKEKE
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Credential |
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Telephone | 281-969-5077
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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 | 27971
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License Number State | TX
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