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NPI Code Detail

MEDICARE: DR. AMIE TAGGART BLASZCZYK PHARM.D.

MEDICARE: DR. AMIE TAGGART BLASZCZYK PHARM.D.
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
1183500000XPharmacist43541TX
21835P1200XPharmacotherapy Pharmacist43541TX
31835P1300XPsychiatric Pharmacist43541TX

General Provider Information

NPI Number : 1548241649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMIE TAGGART BLASZCZYK PHARM.D.
Provider Business Mailing Address
First Line : 9201 GARLAND RD
Second Line : APT 121
City : DALLAS
State : TX
Zip : 75218-3620
Country : US
Telephone Number : 214-321-1782
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line : BUILDING 7-R# 119A
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-372-5300
Fax Number : 214-372-5020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 09/11/2025

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