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NPI Code Detail

MEDICARE: KAYLA QUINTERO RPH

MEDICARE:   KAYLA  QUINTERO  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
1183500000XPharmacist73389TX

General Provider Information

NPI Number : 1508630054
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA QUINTERO RPH
Provider Business Mailing Address
First Line : 3109 RUSTIC MNR
Second Line :
City : EL PASO
State : TX
Zip : 79938-2511
Country : US
Telephone Number : 915-760-0601
Fax Number :
Provider Business Practice Location Address
First Line : 1212 MCRAE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79925-7502
Country : US
Telephone Number : 915-594-4621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2023
Last Update Date : 11/14/2023

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Directions to “ KAYLA QUINTERO RPH” Practice Location

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