MEDICARE: DR. TUNISHA YOUNG CHE PHARMD

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	42111	TX

General Provider Information

NPI Number	:	1023324985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUNISHA YOUNG CHE PHARMD

Provider Business Mailing Address
First Line	:	300 E HOUSTON ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-1816
Country	:	US
Telephone Number	:	210-424-3462
Fax Number	:	210-424-3468

Provider Business Practice Location Address
First Line	:	300 E HOUSTON ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-1816
Country	:	US
Telephone Number	:	210-424-3462
Fax Number	:	210-424-3468

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

Provider Enumeration Date	:	08/28/2010
Last Update Date	:	08/28/2010

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