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NPI Code Detail

MEDICARE: MONICA PAMBLANCO PHARMD

MEDICARE:   MONICA  PAMBLANCO  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
1183500000XPharmacist14003AL

General Provider Information

NPI Number : 1538443080
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA PAMBLANCO PHARMD
Provider Business Mailing Address
First Line : 101 DOUG BAKER BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-2675
Country : US
Telephone Number : 205-437-9467
Fax Number : 205-437-9825
Provider Business Practice Location Address
First Line : 101 DOUG BAKER BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-2675
Country : US
Telephone Number : 205-437-9467
Fax Number : 205-437-9825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 10/04/2011

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Directions to “ MONICA PAMBLANCO PHARMD” Practice Location

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