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NPI Code Detail

MEDICARE: ROSA I URIBE LIRA PHARMACY TECHNICIAN

MEDICARE: ROSA I URIBE LIRA PHARMACY TECHNICIAN
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
1183700000XPharmacy Technician324676TX

General Provider Information

NPI Number : 1639849086
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA I URIBE LIRA PHARMACY TECHNICIAN
Provider Business Mailing Address
First Line : 5407 ANDREWS HWY
Second Line :
City : MIDLAND
State : TX
Zip : 79706-3615
Country : US
Telephone Number : 432-699-2331
Fax Number : 866-605-9415
Provider Business Practice Location Address
First Line : 5407 ANDREWS HWY
Second Line :
City : MIDLAND
State : TX
Zip : 79706-3615
Country : US
Telephone Number : 432-699-2331
Fax Number : 866-605-9415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 09/16/2021

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Directions to “ ROSA I URIBE LIRA PHARMACY TECHNICIAN” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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