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NPI Code Detail

MEDICARE: CHETZ INTERNATIONAL, INC.

MEDICARE: CHETZ INTERNATIONAL, INC.
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
13336C0003XCommunity/Retail Pharmacy28432TX

General Provider Information

NPI Number : 1093150120
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHETZ INTERNATIONAL, INC.
Provider Business Mailing Address
First Line : 916 PECAN TRL
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-3168
Country : US
Telephone Number : 512-626-8899
Fax Number :
Provider Business Practice Location Address
First Line : 941 YORK DR STE 201
Second Line :
City : DESOTO
State : TX
Zip : 75115-2066
Country : US
Telephone Number : 972-780-5999
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. BENJAMIN OKUCHE
Credential : BSC
Telephone Number : 972-780-5999
Provider Enumeration Date : 05/02/2013
Last Update Date : 05/02/2013

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Directions to “CHETZ INTERNATIONAL, INC. ” Practice Location

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