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NPI Code Detail

MEDICARE: MR. JOHN F SVOBODA RPH

MEDICARE: MR. JOHN F SVOBODA 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
1183500000XPharmacist16286TX

General Provider Information

NPI Number : 1487788626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN F SVOBODA RPH
Provider Business Mailing Address
First Line : PO BOX 311021
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78131-1021
Country : US
Telephone Number : 830-606-0526
Fax Number :
Provider Business Practice Location Address
First Line : 631 LAKEVIEW BLVD
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-4017
Country : US
Telephone Number : 830-627-0069
Fax Number : 830-627-0093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 07/08/2007

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