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NPI Code Detail

MEDICARE: VERA BERRY RPH

MEDICARE: VERA BERRY 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
1183500000XPharmacist32137TX

General Provider Information

NPI Number : 1538474671
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERA BERRY RPH
Provider Business Mailing Address
First Line : 7405 FM 1960 RD E
Second Line :
City : HUMBLE
State : TX
Zip : 77346-3128
Country : US
Telephone Number : 281-812-4729
Fax Number : 281-812-4793
Provider Business Practice Location Address
First Line : 7405 FM 1960 RD E
Second Line :
City : HUMBLE
State : TX
Zip : 77346-3128
Country : US
Telephone Number : 281-812-4729
Fax Number : 281-812-4793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 08/12/2010

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Directions to “ VERA BERRY RPH” Practice Location

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