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NPI Code Detail

MEDICARE: DR. TASHA T HINES PHARM.D.

MEDICARE: DR. TASHA T HINES PHARM.D.
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
1183500000XPharmacist043347TX

General Provider Information

NPI Number : 1558643304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TASHA T HINES PHARM.D.
Provider Business Mailing Address
First Line : 8430 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7883
Country : US
Telephone Number : 281-412-3305
Fax Number : 281-412-2191
Provider Business Practice Location Address
First Line : 8430 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7883
Country : US
Telephone Number : 281-412-3305
Fax Number : 281-412-2191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 09/16/2011

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