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NPI Code Detail

MEDICARE: DR. EUNICE HERNANDEZ RPH

MEDICARE: DR. EUNICE HERNANDEZ RPH
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
1183500000XPharmacist22466MD

General Provider Information

NPI Number : 1003298886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EUNICE HERNANDEZ RPH
Provider Business Mailing Address
First Line : 3113 ROSEMARY LN
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-1943
Country : US
Telephone Number : 240-449-6684
Fax Number :
Provider Business Practice Location Address
First Line : 9420 LANHAM SEVERN RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-2642
Country : US
Telephone Number : 301-577-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2015
Last Update Date : 06/29/2015

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