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NPI Code Detail

MEDICARE: MONICA HEWITT R.PH.

MEDICARE: MONICA HEWITT R.PH.
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
1183500000XPharmacistRP00005849NM

General Provider Information

NPI Number : 1043637218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA HEWITT R.PH.
Provider Business Mailing Address
First Line : 2266 WYOMING BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-2620
Country : US
Telephone Number : 505-323-2885
Fax Number : 505-323-2897
Provider Business Practice Location Address
First Line : 2266 WYOMING BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-2620
Country : US
Telephone Number : 505-323-2885
Fax Number : 505-323-2897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2014
Last Update Date : 03/25/2014

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