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NPI Code Detail

MEDICARE: DR. LAURENCIO CORTINAS JR. PHARM.D.

MEDICARE:  DR. LAURENCIO  CORTINAS JR. 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist38041TX

General Provider Information

NPI Number : 1669885356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURENCIO CORTINAS JR. PHARM.D.
Provider Business Mailing Address
First Line : 1862 W BITTERS RD
Second Line : STE 301
City : SAN ANTONIO
State : TX
Zip : 78248-1809
Country : US
Telephone Number : 210-832-8300
Fax Number : 210-520-1440
Provider Business Practice Location Address
First Line : 1862 W BITTERS RD
Second Line : STE 301
City : SAN ANTONIO
State : TX
Zip : 78248-1809
Country : US
Telephone Number : 210-832-8300
Fax Number : 210-520-1440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2014
Last Update Date : 07/18/2015

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