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NPI Code Detail

MEDICARE: JULIE MARIS PHARMD

MEDICARE: JULIE MARIS 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
1183500000XPharmacist47950TX

General Provider Information

NPI Number : 1508193004
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARIS PHARMD
Provider Business Mailing Address
First Line : 1902 RICHMOND RD
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-2425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1902 RICHMOND RD
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-2425
Country : US
Telephone Number : 903-838-3988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2009
Last Update Date : 11/04/2009

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Directions to “ JULIE MARIS PHARMD” Practice Location

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