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NPI Code Detail

MEDICARE: KEENE SAAVEDRA PHARMD

MEDICARE:   KEENE  SAAVEDRA  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
1183500000XPharmacist062444NY
2183500000XPharmacistS023876AZ
3183500000XPharmacist65479TX
4183500000XPharmacist36579SC

General Provider Information

NPI Number : 1083068654
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEENE SAAVEDRA PHARMD
Provider Business Mailing Address
First Line : 9890 WASHINGTONIAN BLVD APT 807
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-5332
Country : US
Telephone Number : 843-793-7483
Fax Number :
Provider Business Practice Location Address
First Line : 9890 WASHINGTONIAN BLVD APT 807
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-5332
Country : US
Telephone Number : 843-793-7483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2016
Last Update Date : 08/02/2023

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Directions to “ KEENE SAAVEDRA PHARMD” Practice Location

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