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NPI Code Detail

MEDICARE: LAUREN TOLAT RPH

MEDICARE: LAUREN TOLAT 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
1183500000XPharmacist62859TX

General Provider Information

NPI Number : 1629689815
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN TOLAT RPH
Provider Business Mailing Address
First Line : 9329 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1512
Country : US
Telephone Number : 713-461-3607
Fax Number : 713-461-8378
Provider Business Practice Location Address
First Line : 9329 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1512
Country : US
Telephone Number : 713-461-3607
Fax Number : 713-461-8378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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