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NPI Code Detail

MEDICARE: JAMES TEJEDA RPH

MEDICARE: JAMES TEJEDA 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
1183500000XPharmacist21493NV

General Provider Information

NPI Number : 1275295263
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES TEJEDA RPH
Provider Business Mailing Address
First Line : 3550 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-5867
Country : US
Telephone Number : 702-873-7171
Fax Number :
Provider Business Practice Location Address
First Line : 3550 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-5867
Country : US
Telephone Number : 702-873-7171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2021
Last Update Date : 10/07/2021

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