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NPI Code Detail

MEDICARE: MELODIE SEGRAVES CAPONIGRO

MEDICARE: MELODIE SEGRAVES CAPONIGRO
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
1183500000XPharmacist33950TX

General Provider Information

NPI Number : 1366756173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODIE SEGRAVES CAPONIGRO
Provider Business Mailing Address
First Line : 33 MEANDERING WAY
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-9620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5600 S 1ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3108
Country : US
Telephone Number : 512-441-4747
Fax Number : 512-441-2727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2010
Last Update Date : 08/04/2010

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Directions to “ MELODIE SEGRAVES CAPONIGRO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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