MEDICARE: TEXAS MEDICATION MANAGEMENT CONSULTANTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	TX
2	333600000X	Pharmacy	TX
3	3336S0011X	Specialty Pharmacy	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5916094	OTHER		NCPDP
2	30066	OTHER	TX	TEXAS PHARMACY LICENSE
3	R0219654	OTHER		DPS

General Provider Information

NPI Number	:	1225418106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS MEDICATION MANAGEMENT CONSULTANTS

Provider Business Mailing Address
First Line	:	3033 W PRESIDENT GEORGE BUSH HWY STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5752
Country	:	US
Telephone Number	:	888-866-1072
Fax Number	:	866-388-1488

Provider Business Practice Location Address
First Line	:	3033 W PRESIDENT GEORGE BUSH HWY STE 100C
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5752
Country	:	US
Telephone Number	:	888-588-1072
Fax Number	:	972-370-3560

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MR. ANTHONY FINAZZO
Credential	:
Telephone Number	:	888-588-1072

Provider Enumeration Date	:	06/04/2015
Last Update Date	:	03/07/2023

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Directions to “TEXAS MEDICATION MANAGEMENT CONSULTANTS ” Practice Location

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