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NPI Code Detail

MEDICARE: BEATRIZ M NAGATANI PHARM. D.

MEDICARE: BEATRIZ M NAGATANI 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
1183500000XPharmacistCA57103CA
2183500000XPharmacist43971TX

General Provider Information

NPI Number : 1568663383
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRIZ M NAGATANI PHARM. D.
Provider Business Mailing Address
First Line : 4440 GOLDEN WILLOW WAY
Second Line :
City : EL PASO
State : TX
Zip : 79922-2215
Country : US
Telephone Number : 915-581-5935
Fax Number :
Provider Business Practice Location Address
First Line : 5401 MONTANA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79903-4909
Country : US
Telephone Number : 915-779-8825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/08/2007

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