MEDICARE: MR. YIN F TSE R.PH.

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	22386	TX

General Provider Information

NPI Number	:	1306846126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YIN F TSE R.PH.

Provider Business Mailing Address
First Line	:	PO BOX 12068
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-0068
Country	:	US
Telephone Number	:	915-595-1177
Fax Number	:	915-595-0214

Provider Business Practice Location Address
First Line	:	3100 N LEE TREVINO DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-2098
Country	:	US
Telephone Number	:	915-595-1177
Fax Number	:

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/08/2007

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