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NPI Code Detail

MEDICARE: DR. JAMIE GUERRERO PHARM. D.

MEDICARE:  DR. JAMIE  GUERRERO  PHARM. D.
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
1183500000XPharmacist43255TX

General Provider Information

NPI Number : 1083214449
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE GUERRERO PHARM. D.
Provider Business Mailing Address
First Line : 2801 E INTERSTATE 20
Second Line :
City : HUDSON OAKS
State : TX
Zip : 76087-8596
Country : US
Telephone Number : 817-599-3750
Fax Number : 817-599-9884
Provider Business Practice Location Address
First Line : 2801 E INTERSTATE 20
Second Line :
City : HUDSON OAKS
State : TX
Zip : 76087-8596
Country : US
Telephone Number : 817-599-3750
Fax Number : 817-599-9884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 10/27/2020

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