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NPI Code Detail

MEDICARE: CHELSEA FRAZIER PHARMD

MEDICARE: CHELSEA FRAZIER PHARMD
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
1183500000XPharmacist51921TX

General Provider Information

NPI Number : 1205183241
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA FRAZIER PHARMD
Provider Business Mailing Address
First Line : 520 SAMUELS AVE
Second Line : 8406
City : FORT WORTH
State : TX
Zip : 76102-2399
Country : US
Telephone Number : 512-971-8988
Fax Number :
Provider Business Practice Location Address
First Line : 4520 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2635
Country : US
Telephone Number : 817-514-8063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2012
Last Update Date : 08/09/2012

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Directions to “ CHELSEA FRAZIER PHARMD” Practice Location

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