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NPI Code Detail

MEDICARE: MS. MINI NAIR RPH

MEDICARE: MS. MINI NAIR 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
1183500000XPharmacist47500TX

General Provider Information

NPI Number : 1154659498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MINI NAIR RPH
Provider Business Mailing Address
First Line : 8035 AGUA DULCE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-3890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9080 MARBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-1810
Country : US
Telephone Number : 210-673-3082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2009
Last Update Date : 11/24/2009

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