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General NPI Number Information
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NPI Number | 1992441018
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Entity Type | Organization
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Legal Business Name | CHRISTIAN FAMILY PHARMACY INC
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 3517 N MAIN ST
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City | BAYTOWN
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State | TX
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Zip | 77521-4117
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Country | US
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Telephone | 281-837-7682
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Fax | 281-839-7026
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Provider Business Mailing Address
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Address Line | 208 N BONHAM AVE
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City | CLEVELAND
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State | TX
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Zip | 77327-4023
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Country | US
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Telephone | 936-227-1103
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIK DE LA GARZA
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Credential |
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Telephone | 281-837-7682
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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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