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NPI Code Detail

MEDICARE: MARK E FLORES RPH

MEDICARE: MARK E FLORES RPH
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
1183500000XPharmacist38131TX

General Provider Information

NPI Number : 1093150435
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK E FLORES RPH
Provider Business Mailing Address
First Line : 10969 GARY PLAYER DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-3909
Country : US
Telephone Number : 210-683-1056
Fax Number :
Provider Business Practice Location Address
First Line : 1831 N LEE TREVINO DR
Second Line :
City : EL PASO
State : TX
Zip : 79936-4107
Country : US
Telephone Number : 915-594-1129
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2013
Last Update Date : 04/29/2013

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Directions to “ MARK E FLORES RPH” Practice Location

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