MEDICARE: MONICA NAZEMPOOR PHARMDT

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	60292	TX

General Provider Information

NPI Number	:	1194366971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA NAZEMPOOR PHARMDT

Provider Business Mailing Address
First Line	:	16569 SWEETGUM RD
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-2388
Country	:	US
Telephone Number	:	972-989-3362
Fax Number	:

Provider Business Practice Location Address
First Line	:	1612 SCRIPTURE ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-3809
Country	:	US
Telephone Number	:	940-484-0100
Fax Number	:

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

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	10/03/2019

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Directions to “ MONICA NAZEMPOOR PHARMDT” Practice Location

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