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NPI Code Detail

MEDICARE: MARSHALL H SCANTLIN PHARMACIST

MEDICARE: MARSHALL H SCANTLIN PHARMACIST
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
1183500000XPharmacist32968TX

General Provider Information

NPI Number : 1366779217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHALL H SCANTLIN PHARMACIST
Provider Business Mailing Address
First Line : 2401 W LEDBETTER DR
Second Line :
City : DALLAS
State : TX
Zip : 75233-4015
Country : US
Telephone Number : 214-337-2126
Fax Number :
Provider Business Practice Location Address
First Line : 2401 W LEDBETTER DR
Second Line :
City : DALLAS
State : TX
Zip : 75233-4015
Country : US
Telephone Number : 214-337-2126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2009
Last Update Date : 11/13/2009

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Directions to “ MARSHALL H SCANTLIN PHARMACIST” Practice Location

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