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NPI Code Detail

MEDICARE: KARISSA GARZA

MEDICARE: KARISSA GARZA
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
1183500000XPharmacist67537TX

General Provider Information

NPI Number : 1407456361
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARISSA GARZA
Provider Business Mailing Address
First Line : 704 LAS BRISAS DR
Second Line :
City : MISSION
State : TX
Zip : 78574-2318
Country : US
Telephone Number : 956-862-7969
Fax Number :
Provider Business Practice Location Address
First Line : 215 E MILE 3 RD
Second Line :
City : PALMHURST
State : TX
Zip : 78573-6677
Country : US
Telephone Number : 956-519-2240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 10/29/2020

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Directions to “ KARISSA GARZA ” Practice Location

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