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NPI Code Detail

MEDICARE: REDICARE

MEDICARE: REDICARE
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
1333600000XPharmacy

General Provider Information

NPI Number : 1164783189
Entity Type Code : Organization
Provider Name (Legal Business Name) : REDICARE
Provider Business Mailing Address
First Line : PO BOX 931
Second Line :
City : BELLAIRE
State : TX
Zip : 77402-0931
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7580 W BELLFORT ST # B
Second Line :
City : HOUSTON
State : TX
Zip : 77071-2102
Country : US
Telephone Number : 713-772-0100
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DEREK MCCARTER
Credential :
Telephone Number : 713-772-0100
Provider Enumeration Date : 06/06/2012
Last Update Date : 06/06/2012

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Directions to “REDICARE ” Practice Location

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