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NPI Code Detail

MEDICARE: MARTA ESPELOSIN RPH

MEDICARE:   MARTA  ESPELOSIN  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
1183500000XPharmacistPS37311FL

General Provider Information

NPI Number : 1225523459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTA ESPELOSIN RPH
Provider Business Mailing Address
First Line : 2961 W 12TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4833
Country : US
Telephone Number : 305-888-2224
Fax Number :
Provider Business Practice Location Address
First Line : 2961 W 12TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4833
Country : US
Telephone Number : 305-888-2224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 06/29/2018

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Directions to “ MARTA ESPELOSIN RPH” Practice Location

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