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NPI Code Detail

MEDICARE: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON

MEDICARE: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
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
1333600000XPharmacy
23336I0012XInstitutional Pharmacy20487TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12098755OTHERPK

General Provider Information

NPI Number : 1770525305
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Provider Business Mailing Address
First Line : 2400 AVENUE I
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-5830
Country : US
Telephone Number : 936-437-5300
Fax Number : 936-437-5311
Provider Business Practice Location Address
First Line : 2400 AVENUE I
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-5830
Country : US
Telephone Number : 936-437-5300
Fax Number : 936-437-5311
Authorized Official
Title or Position : AVP PHARMACY SERVICES
Name : STEPHANIE ZEPEDA
Credential : PHARMD
Telephone Number : 936-437-5363
Provider Enumeration Date : 06/11/2006
Last Update Date : 03/23/2017

Similar Medicare Providers

1336872217 — DIANA J RODRIGUEZ PHARMD
Practice Location Address:
2400 AVENUE I
HUNTSVILLE, TX
77340-5830
Practice Phone: 936-437-5300
Practice Fax:
1376773721 — ANGELA M KORANEK PHARM.D.
Practice Location Address:
2400 AVENUE I
HUNTSVILLE, TX
77340-5830
Practice Phone: 936-437-5377
Practice Fax:
1184906273 — HILLARY J PEEBLES PHARMD
Practice Location Address:
2400 AVENUE I
HUNTSVILLE, TX
77340-5830
Practice Phone: 936-437-5300
Practice Fax:
1023447091 — DR. BRITTANY SARAH FINOCCHIO PHARM.D., BCPP
Practice Location Address:
2400 AVENUE I
HUNTSVILLE, TX
77340-5830
Practice Phone: 936-437-5377
Practice Fax:
1245648948 — MELISSA T JOHNSON PHARM.D., BCPS
Practice Location Address:
2400 AVENUE I
HUNTSVILLE, TX
77340-5830
Practice Phone: 936-437-5300
Practice Fax:
1710395454 — JOHN RICHARD SPENCER
Practice Location Address:
2400 AVENUE I
HUNTSVILLE, TX
77340-5830
Practice Phone: 936-437-5302
Practice Fax:

Directions to “UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON ” Practice Location

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