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NPI Code Detail

MEDICARE: PREETHY MARUTHOOR

MEDICARE:   PREETHY  MARUTHOOR
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
1183500000XPharmacist45749TX

General Provider Information

NPI Number : 1831793140
Entity Type Code : Individual
Provider Name (Legal Business Name) : PREETHY MARUTHOOR
Provider Business Mailing Address
First Line : 3516 FURLONG WAY
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-5102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6401 PRECINCT LINE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-4815
Country : US
Telephone Number : 817-485-8302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 11/27/2020

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Directions to “ PREETHY MARUTHOOR ” Practice Location

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