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NPI Code Detail

MEDICARE: LAWRENCE SIMMS BRASHEAR RPH

MEDICARE: LAWRENCE SIMMS BRASHEAR 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
1183500000XPharmacist34446TX

General Provider Information

NPI Number : 1326364498
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE SIMMS BRASHEAR RPH
Provider Business Mailing Address
First Line : 9127 WILD TRAILS ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78250-3018
Country : US
Telephone Number : 210-364-4104
Fax Number :
Provider Business Practice Location Address
First Line : 7802 WURZBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4448
Country : US
Telephone Number : 210-614-3590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2010
Last Update Date : 04/14/2010

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Directions to “ LAWRENCE SIMMS BRASHEAR RPH” Practice Location

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