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NPI Code Detail

MEDICARE: MR. PATRICK A CORMIER RPH

MEDICARE: MR. PATRICK A CORMIER RPH
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
1183500000XPharmacist36196TX

General Provider Information

NPI Number : 1467735068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PATRICK A CORMIER RPH
Provider Business Mailing Address
First Line : 3317 MONTROSE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3931
Country : US
Telephone Number : 713-520-7777
Fax Number : 713-520-6049
Provider Business Practice Location Address
First Line : 3317 MONTROSE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3931
Country : US
Telephone Number : 713-520-7777
Fax Number : 713-520-6049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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