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NPI Code Detail

MEDICARE: CARA MICHELLE TREJO PHARMD

MEDICARE: CARA MICHELLE TREJO 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
1183500000XPharmacist42493TX

General Provider Information

NPI Number : 1588904676
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA MICHELLE TREJO PHARMD
Provider Business Mailing Address
First Line : 6520 FRATT RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-4402
Country : US
Telephone Number : 210-938-9700
Fax Number : 210-938-4425
Provider Business Practice Location Address
First Line : 6520 FRATT RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-4402
Country : US
Telephone Number : 210-938-9700
Fax Number : 210-938-4425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2013
Last Update Date : 02/26/2013

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Directions to “ CARA MICHELLE TREJO PHARMD” Practice Location

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