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NPI Code Detail

MEDICARE: DR. RAVEN ASKEW PHARM D

MEDICARE:  DR. RAVEN  ASKEW  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
1183500000XPharmacist62313TX

General Provider Information

NPI Number : 1306457395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAVEN ASKEW PHARM D
Provider Business Mailing Address
First Line : 11658 N IH 35
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78233-5305
Country : US
Telephone Number : 210-599-0398
Fax Number :
Provider Business Practice Location Address
First Line : 11658 N IH 35
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78233-5305
Country : US
Telephone Number : 210-599-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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Directions to “ DR. RAVEN ASKEW PHARM D” Practice Location

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