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NPI Code Detail

MEDICARE: MRS. MARGARET RENEE BLARE R.PH.

MEDICARE: MRS. MARGARET RENEE BLARE R.PH.
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
1183500000XPharmacist2792WY
2183500000XPharmacist50446TX

General Provider Information

NPI Number : 1629260468
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET RENEE BLARE R.PH.
Provider Business Mailing Address
First Line : 203 W FERGUSON RD
Second Line :
City : MOUNT PLEASANT
State : TX
Zip : 75455-4809
Country : US
Telephone Number : 903-572-0486
Fax Number :
Provider Business Practice Location Address
First Line : 203 W FERGUSON RD
Second Line :
City : MOUNT PLEASANT
State : TX
Zip : 75455-4809
Country : US
Telephone Number : 903-572-0486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 06/29/2012

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