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NPI Code Detail

MEDICARE: ARIANNE ELLENA EDWARDS PHARM D

MEDICARE: ARIANNE ELLENA EDWARDS PHARM D
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
1183500000XPharmacist48658TX

General Provider Information

NPI Number : 1063726131
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNE ELLENA EDWARDS PHARM D
Provider Business Mailing Address
First Line : 5225 BUFFALO SPEEDWAY
Second Line :
City : HOUSTON
State : TX
Zip : 77005-4210
Country : US
Telephone Number : 281-507-4876
Fax Number :
Provider Business Practice Location Address
First Line : 5225 BUFFALO SPEEDWAY
Second Line :
City : HOUSTON
State : TX
Zip : 77005-4210
Country : US
Telephone Number : 281-507-4876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2010
Last Update Date : 08/01/2010

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