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NPI Code Detail

MEDICARE: VICTORIA MARIENFELD

MEDICARE: VICTORIA MARIENFELD
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
1183500000XPharmacist56934TX

General Provider Information

NPI Number : 1093191975
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA MARIENFELD
Provider Business Mailing Address
First Line : 9006 QUAIL RIDGE DR
Second Line :
City : ROWLETT
State : TX
Zip : 75089-2486
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6419 SKILLMAN ST
Second Line :
City : DALLAS
State : TX
Zip : 75231-7109
Country : US
Telephone Number : 214-343-7418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 08/03/2015

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Directions to “ VICTORIA MARIENFELD ” Practice Location

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