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NPI Code Detail

MEDICARE: MARLENE VELAZQUEZ

MEDICARE: MARLENE VELAZQUEZ
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
1183500000XPharmacist76616TX

General Provider Information

NPI Number : 1780540161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE VELAZQUEZ
Provider Business Mailing Address
First Line : 5900 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79912-4604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5900 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79912-4604
Country : US
Telephone Number : 915-584-1153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ MARLENE VELAZQUEZ ” Practice Location

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