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NPI Code Detail

MEDICARE: DR. GEORGE LOCK PARET IV PHARMD

MEDICARE: DR. GEORGE LOCK PARET IV PHARMD
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
1183500000XPharmacist50649TX

General Provider Information

NPI Number : 1487937421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE LOCK PARET IV PHARMD
Provider Business Mailing Address
First Line : 301 CARROLL ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-1956
Country : US
Telephone Number : 337-274-7319
Fax Number :
Provider Business Practice Location Address
First Line : 301 CARROLL ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-1956
Country : US
Telephone Number : 337-274-7319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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Directions to “ DR. GEORGE LOCK PARET IV PHARMD” Practice Location

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