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NPI Code Detail

MEDICARE: WHITLEE LARUE PHARMACY INTERN

MEDICARE: WHITLEE LARUE PHARMACY INTERN
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
1183700000XPharmacy Technician43283TX

General Provider Information

NPI Number : 1821955998
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITLEE LARUE PHARMACY INTERN
Provider Business Mailing Address
First Line : 6707 CLUB MEADOWS DR
Second Line :
City : AMARILLO
State : TX
Zip : 79124-1506
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 S COULTER ST
Second Line :
City : AMARILLO
State : TX
Zip : 79106-1770
Country : US
Telephone Number : 806-354-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ WHITLEE LARUE PHARMACY INTERN” Practice Location

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