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NPI Code Detail

MEDICARE: MS. MARICELA GRIMALDO

MEDICARE: MS. MARICELA GRIMALDO
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
1183500000XPharmacist30543TX

General Provider Information

NPI Number : 1568398204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARICELA GRIMALDO
Provider Business Mailing Address
First Line : 10530 JOHN W ELLIOTT DR STE 100
Second Line :
City : FRISCO
State : TX
Zip : 75033-2014
Country : US
Telephone Number : 800-345-1036
Fax Number : 800-332-9581
Provider Business Practice Location Address
First Line : 10530 JOHN W ELLIOTT DR STE 100
Second Line :
City : FRISCO
State : TX
Zip : 75033-2014
Country : US
Telephone Number : 800-345-1036
Fax Number : 800-332-9581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ MS. MARICELA GRIMALDO ” Practice Location

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