MEDICARE: MS. NINA MAREK RPH

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	26422	TX

General Provider Information

NPI Number	:	1407856107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NINA MAREK RPH

Provider Business Mailing Address
First Line	:	901 COUNTY ROAD 487
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-2042
Country	:	US
Telephone Number	:	512-352-7227
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CARLOS PARKER BLVD NW STE 101
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-7059
Country	:	US
Telephone Number	:	512-365-2302
Fax Number	:	512-352-2052

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	03/01/2013

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