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NPI Code Detail

MEDICARE: MRS. JANIS SUMNER NEAL PHARMD

MEDICARE: MRS. JANIS SUMNER NEAL 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
1183500000XPharmacist43289TX

General Provider Information

NPI Number : 1629306857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANIS SUMNER NEAL PHARMD
Provider Business Mailing Address
First Line : 3018 7TH ST
Second Line :
City : BAY CITY
State : TX
Zip : 77414-5410
Country : US
Telephone Number : 979-323-7862
Fax Number : 979-323-7954
Provider Business Practice Location Address
First Line : 3018 7TH ST
Second Line :
City : BAY CITY
State : TX
Zip : 77414-5410
Country : US
Telephone Number : 979-323-7862
Fax Number : 979-323-7954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2009
Last Update Date : 11/30/2009

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