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NPI Code Detail

MEDICARE: TEMMY ANN LIMON DUQUE RPH

MEDICARE: TEMMY ANN LIMON DUQUE 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
1183500000XPharmacist65604CA

General Provider Information

NPI Number : 1487935235
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEMMY ANN LIMON DUQUE RPH
Provider Business Mailing Address
First Line : 1188 ROTHWELL LN
Second Line :
City : ROSEVILLE
State : CA
Zip : 95747-9025
Country : US
Telephone Number : 718-288-9568
Fax Number :
Provider Business Practice Location Address
First Line : 1158 W MAIN ST
Second Line :
City : MERCED
State : CA
Zip : 95340-4523
Country : US
Telephone Number : 209-383-2404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 09/07/2011

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Directions to “ TEMMY ANN LIMON DUQUE RPH” Practice Location

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