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NPI Code Detail

MEDICARE: MRS. JUDITH A GARRETT-SHELTON PHARMACIST

MEDICARE: MRS. JUDITH A GARRETT-SHELTON PHARMACIST
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
1183500000XPharmacist26724TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126724OTHERTXPHARMACIST

General Provider Information

NPI Number : 1053656181
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDITH A GARRETT-SHELTON PHARMACIST
Provider Business Mailing Address
First Line : 6955 ALMEDA RD
Second Line :
City : HOUSTON
State : TX
Zip : 77021-2009
Country : US
Telephone Number : 800-505-2980
Fax Number : 800-398-4615
Provider Business Practice Location Address
First Line : 6955 ALMEDA RD
Second Line :
City : HOUSTON
State : TX
Zip : 77021-2009
Country : US
Telephone Number : 800-505-2980
Fax Number : 800-398-4615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2012
Last Update Date : 11/29/2012

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