MEDICARE: YOUR HEALTH CLINIC

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
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1396326294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR HEALTH CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 69
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75091-0069
Country	:	US
Telephone Number	:	903-891-1972
Fax Number	:	903-487-2482

Provider Business Practice Location Address
First Line	:	1521 BAKER RD STE 200
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-2409
Country	:	US
Telephone Number	:	903-891-1972
Fax Number	:	903-487-2482

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	GWYNNE MICHELLE PALMORE
Credential	:
Telephone Number	:	903-891-1972

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	04/21/2021

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Directions to “YOUR HEALTH CLINIC ” Practice Location

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