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NPI Code Detail

MEDICARE: MICHAEL PITMAN PHARMD

MEDICARE: MICHAEL PITMAN 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
1183500000XPharmacist52115TX

General Provider Information

NPI Number : 1356714596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL PITMAN PHARMD
Provider Business Mailing Address
First Line : 8600 W HIGHWAY 71
Second Line :
City : AUSTIN
State : TX
Zip : 78735-8002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 RR 620 S
Second Line :
City : LAKEWAY
State : TX
Zip : 78738-5603
Country : US
Telephone Number : 512-263-7887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2015
Last Update Date : 11/10/2015

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Directions to “ MICHAEL PITMAN PHARMD” Practice Location

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