MEDICARE: CINTHOL BABY

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	52792	TX

General Provider Information

NPI Number	:	1356774665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINTHOL BABY

Provider Business Mailing Address
First Line	:	142 PALM BLVD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4555
Country	:	US
Telephone Number	:	281-704-7331
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 PALM BLVD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4555
Country	:	US
Telephone Number	:	281-704-7331
Fax Number	:

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

Provider Enumeration Date	:	08/10/2013
Last Update Date	:	09/25/2013

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Directions to “ CINTHOL BABY ” Practice Location

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