MEDICARE: MRS. ANA MARIA CORTES R.PH., M.P.H.

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	183500000X	Pharmacist	NC10246	NC

General Provider Information

NPI Number	:	1427052141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANA MARIA CORTES R.PH., M.P.H.

Provider Business Mailing Address
First Line	:	710 EVANVALE CT
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-2806
Country	:	US
Telephone Number	:	919-367-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1624 MEMORIAL DR
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-3518
Country	:	US
Telephone Number	:	336-538-8440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

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