MEDICARE: LEYVA ANN HERRERA 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
1	183500000X	Pharmacist	44508	TX

General Provider Information

NPI Number	:	1215272976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEYVA ANN HERRERA PHARM.D.

Provider Business Mailing Address
First Line	:	6615 MORNINGSAGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77088-6060
Country	:	US
Telephone Number	:	281-250-6880
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-3803
Country	:	US
Telephone Number	:	281-716-1105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2012
Last Update Date	:	12/06/2012

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Directions to “ LEYVA ANN HERRERA PHARM.D.” Practice Location

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