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NPI Code Detail

MEDICARE: MICHELLE NICOLE HERNANDEZ PHARMD

MEDICARE: MICHELLE NICOLE HERNANDEZ 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
1183500000XPharmacist67092TX

General Provider Information

NPI Number : 1376153981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE NICOLE HERNANDEZ PHARMD
Provider Business Mailing Address
First Line : 8503 NW MILITARY HWY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78231-1841
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8503 NW MILITARY HWY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78231-1841
Country : US
Telephone Number : 210-479-4350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2020
Last Update Date : 08/07/2020

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Directions to “ MICHELLE NICOLE HERNANDEZ PHARMD” Practice Location

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