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NPI Code Detail

MEDICARE: CAROLYN MEYER

MEDICARE: CAROLYN MEYER
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
1183500000XPharmacist22517TX

General Provider Information

NPI Number : 1386773133
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN MEYER
Provider Business Mailing Address
First Line : 1710 NOTTING HL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-4872
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17440 HENDERSON PASS
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-1662
Country : US
Telephone Number : 210-483-5903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 08/21/2008

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Directions to “ CAROLYN MEYER ” Practice Location

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