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NPI Code Detail

MEDICARE: ALMA ELLA LAURENTS RPH

MEDICARE:   ALMA ELLA LAURENTS  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist29540TX

General Provider Information

NPI Number : 1043551799
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALMA ELLA LAURENTS RPH
Provider Business Mailing Address
First Line : 612 PINE RIDGE DR
Second Line :
City : EDINBURG
State : TX
Zip : 78539-6151
Country : US
Telephone Number : 512-923-3088
Fax Number :
Provider Business Practice Location Address
First Line : 403 S COLORADO ST
Second Line :
City : LOCKHART
State : TX
Zip : 78644-2702
Country : US
Telephone Number : 512-398-6797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2013
Last Update Date : 03/05/2013

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Directions to “ ALMA ELLA LAURENTS RPH” Practice Location

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