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NPI Code Detail

MEDICARE: MARK RASBAND PHARM D

MEDICARE: MARK RASBAND 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
1183500000XPharmacist51487TX

General Provider Information

NPI Number : 1316338106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK RASBAND PHARM D
Provider Business Mailing Address
First Line : 1520 S VALLEY MILLS DR
Second Line :
City : BEVERLY HILLS
State : TX
Zip : 76711-1607
Country : US
Telephone Number : 254-752-3986
Fax Number :
Provider Business Practice Location Address
First Line : 1520 S VALLEY MILLS DR
Second Line :
City : BEVERLY HILLS
State : TX
Zip : 76711-1607
Country : US
Telephone Number : 254-752-3986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2015
Last Update Date : 02/14/2015

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