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NPI Code Detail

MEDICARE: ASHLEY PAZ

MEDICARE: ASHLEY PAZ
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
1183700000XPharmacy Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1257161OTHERTXTEXAS BOARD OF PHARMACY

General Provider Information

NPI Number : 1407528193
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY PAZ
Provider Business Mailing Address
First Line : 400 LIDDON AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79705-8801
Country : US
Telephone Number : 909-343-7599
Fax Number :
Provider Business Practice Location Address
First Line : 5407 ANDREWS HWY
Second Line :
City : MIDLAND
State : TX
Zip : 79706-3615
Country : US
Telephone Number : 432-699-2332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 09/30/2021

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Directions to “ ASHLEY PAZ ” Practice Location

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