MEDICARE: GIA CASTORINA

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	57066	TX

General Provider Information

NPI Number	:	1356717912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIA CASTORINA

Provider Business Mailing Address
First Line	:	4001 FANNIN ST
Second Line	:	4423
City	:	HOUSTON
State	:	TX
Zip	:	77004-4074
Country	:	US
Telephone Number	:	281-731-3726
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 FANNIN ST
Second Line	:	4423
City	:	HOUSTON
State	:	TX
Zip	:	77004-4074
Country	:	US
Telephone Number	:	281-731-3726
Fax Number	:

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

Provider Enumeration Date	:	08/18/2015
Last Update Date	:	08/18/2015

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Directions to “ GIA CASTORINA ” Practice Location

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