MEDICARE: DENNIS WARREN PALMER 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
1	183500000X	Pharmacist	28030	TX

General Provider Information

NPI Number	:	1184840381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS WARREN PALMER RPH

Provider Business Mailing Address
First Line	:	8109 STARNES RD.
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180
Country	:	US
Telephone Number	:	817-605-8676
Fax Number	:

Provider Business Practice Location Address
First Line	:	8109 STARNES RD
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-3032
Country	:	US
Telephone Number	:	817-605-8676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

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