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NPI Code Detail

MEDICARE: MRS. MAITE EGUIA HARTE RPH

MEDICARE: MRS. MAITE EGUIA HARTE 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
1183500000XPharmacist11914NC

General Provider Information

NPI Number : 1285972554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAITE EGUIA HARTE RPH
Provider Business Mailing Address
First Line : 115 RIVER HILLS RD
Second Line : T-1807
City : ASHEVILLE
State : NC
Zip : 28805-2550
Country : US
Telephone Number : 828-298-4262
Fax Number : 828-333-9814
Provider Business Practice Location Address
First Line : 115 RIVER HILLS RD
Second Line : T-1807
City : ASHEVILLE
State : NC
Zip : 28805-2550
Country : US
Telephone Number : 828-298-4262
Fax Number : 828-333-9814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2013
Last Update Date : 01/22/2013

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