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NPI Code Detail

MEDICARE: JULIE BYNUM PHARM D

MEDICARE: JULIE BYNUM PHARM D
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
1183500000XPharmacist42379TX

General Provider Information

NPI Number : 1952630741
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE BYNUM PHARM D
Provider Business Mailing Address
First Line : 3605 12TH STREET
Second Line :
City : BAY CITY
State : TX
Zip : 77414
Country : US
Telephone Number : 281-235-3380
Fax Number :
Provider Business Practice Location Address
First Line : 3018 7TH ST
Second Line :
City : BAY CITY
State : TX
Zip : 77414-5410
Country : US
Telephone Number : 979-323-7862
Fax Number : 979-323-7954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2009
Last Update Date : 12/08/2009

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