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NPI Code Detail

MEDICARE: AMY SALAMANCA PHARMD

MEDICARE: AMY SALAMANCA PHARMD
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
1183500000XPharmacist43109TX
2183500000XPharmacist13010AZ

General Provider Information

NPI Number : 1336477678
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY SALAMANCA PHARMD
Provider Business Mailing Address
First Line : 16244 S POST OAK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77053-4309
Country : US
Telephone Number : 281-835-3420
Fax Number :
Provider Business Practice Location Address
First Line : 16244 S POST OAK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77053-4309
Country : US
Telephone Number : 281-835-3420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2009
Last Update Date : 11/24/2009

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