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General NPI Number Information
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NPI Number | 1982191912
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Entity Type | Organization
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Legal Business Name | APN PHARMACY LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 105 N SAN JACINTO AVE
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City | CLEVELAND
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State | TX
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Zip | 77327
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Country | US
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Telephone | 832-480-5054
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Fax | 832-480-5344
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Provider Business Mailing Address
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Address Line | 105 N SAN JACINTO AVE
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City | CLEVELAND
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State | TX
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Zip | 77327
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Country | US
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Telephone | 832-480-5054
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Fax | 832-480-5344
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Authorized Official
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Title or Position | MEMBER
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Name | MARK WEITALA
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Credential |
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Telephone | 832-480-5054
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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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