MEDICARE: JUNKO YAMAGUCHI

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
1	183500000X	Pharmacist	44593	TX

General Provider Information

NPI Number	:	1871821314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNKO YAMAGUCHI

Provider Business Mailing Address
First Line	:	3745 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5227
Country	:	US
Telephone Number	:	713-629-0703
Fax Number	:	713-629-6061

Provider Business Practice Location Address
First Line	:	3745 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5227
Country	:	US
Telephone Number	:	713-629-0703
Fax Number	:	713-629-6061

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2009
Last Update Date	:	12/28/2022

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