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NPI Code Detail

MEDICARE: MR. RICHARD VOLPOE HALTER JR. R.PH.

MEDICARE: MR. RICHARD VOLPOE HALTER JR. 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
1183500000XPharmacist22337TX

General Provider Information

NPI Number : 1326374950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD VOLPOE HALTER JR. R.PH.
Provider Business Mailing Address
First Line : 4415 N STATELINE AVE
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-3138
Country : US
Telephone Number : 903-792-8918
Fax Number : 903-792-6918
Provider Business Practice Location Address
First Line : 4415 N STATELINE AVE
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-3138
Country : US
Telephone Number : 903-792-8918
Fax Number : 903-792-6918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2009
Last Update Date : 11/02/2009

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