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NPI Code Detail

MEDICARE: KAREN RENAE WILBRANDT RPH

MEDICARE:   KAREN RENAE WILBRANDT  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
1183500000XPharmacist42256TX

General Provider Information

NPI Number : 1164750253
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN RENAE WILBRANDT RPH
Provider Business Mailing Address
First Line : 624 JEFFERSON ST
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-4506
Country : US
Telephone Number : 830-792-6557
Fax Number :
Provider Business Practice Location Address
First Line : 624 JEFFERSON ST
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-4506
Country : US
Telephone Number : 830-792-6557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2009
Last Update Date : 12/01/2009

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Directions to “ KAREN RENAE WILBRANDT RPH” Practice Location

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