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NPI Code Detail

MEDICARE: DR. MONICA RENEE ARAGON PHARM. D. PH.C.

MEDICARE: DR. MONICA RENEE ARAGON PHARM. D. PH.C.
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
1183500000XPharmacistRP00006378NM
2183500000XPharmacistPC00000117NM

General Provider Information

NPI Number : 1770607244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA RENEE ARAGON PHARM. D. PH.C.
Provider Business Mailing Address
First Line : PO BOX 1825
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-1825
Country : US
Telephone Number : 505-387-5134
Fax Number :
Provider Business Practice Location Address
First Line : 104 LEGION DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4804
Country : US
Telephone Number : 505-426-3755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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