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NPI Code Detail

MEDICARE: LAUREN BIALES PHARM D

MEDICARE:   LAUREN  BIALES  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
1183500000XPharmacist50192TX

General Provider Information

NPI Number : 1588943583
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BIALES PHARM D
Provider Business Mailing Address
First Line : 4760 STATE HIGHWAY 121
Second Line : TARGET 2520
City : LEWISVILLE
State : TX
Zip : 75056-2913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4760 STATE HIGHWAY 121
Second Line : TARGET 2520
City : LEWISVILLE
State : TX
Zip : 75056-2913
Country : US
Telephone Number : 469-287-0346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2011
Last Update Date : 08/08/2011

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Directions to “ LAUREN BIALES PHARM D” Practice Location

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