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NPI Code Detail

MEDICARE: DR. AMISTA LONE SALCIDO PHARM.D.

MEDICARE:  DR. AMISTA LONE SALCIDO  PHARM.D.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist43111TX
2183500000XPharmacistS11964AZ
3183500000XPharmacist0202013036VA

General Provider Information

NPI Number : 1255423166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMISTA LONE SALCIDO PHARM.D.
Provider Business Mailing Address
First Line : 14800 KINGSTON RD
Second Line :
City : HORIZON CITY
State : TX
Zip : 79928-7210
Country : US
Telephone Number : 915-526-0073
Fax Number :
Provider Business Practice Location Address
First Line : 14800 KINGSTON RD
Second Line :
City : HORIZON CITY
State : TX
Zip : 79928-7210
Country : US
Telephone Number : 915-526-0073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 08/06/2015

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Directions to “ DR. AMISTA LONE SALCIDO PHARM.D.” Practice Location

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