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NPI Code Detail

MEDICARE: VERONICA CAMPOS RUDDER

MEDICARE:   VERONICA CAMPOS RUDDER
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
1183500000XPharmacist27162TX

General Provider Information

NPI Number : 1194317271
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA CAMPOS RUDDER
Provider Business Mailing Address
First Line : 6436 TARASCAS DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-2525
Country : US
Telephone Number : 915-581-3290
Fax Number :
Provider Business Practice Location Address
First Line : 4171 N MESA ST STE 210
Second Line :
City : EL PASO
State : TX
Zip : 79902-1444
Country : US
Telephone Number : 915-545-1955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2021
Last Update Date : 02/09/2021

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Directions to “ VERONICA CAMPOS RUDDER ” Practice Location

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