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NPI Code Detail

MEDICARE: MATTHEW RICHMOND GEURIN PHARMD

MEDICARE: MATTHEW RICHMOND GEURIN PHARMD
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
1183500000XPharmacist2010026497MO
2183500000XPharmacist54901TX

General Provider Information

NPI Number : 1164023453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW RICHMOND GEURIN PHARMD
Provider Business Mailing Address
First Line : 319 S BRIGHTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75208-5742
Country : US
Telephone Number : 314-973-0951
Fax Number :
Provider Business Practice Location Address
First Line : 12300 LAKE JUNE RD
Second Line :
City : BALCH SPRINGS
State : TX
Zip : 75180-1636
Country : US
Telephone Number : 972-286-0180
Fax Number : 972-286-7770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/04/2020

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Directions to “ MATTHEW RICHMOND GEURIN PHARMD” Practice Location

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