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NPI Code Detail

MEDICARE: HEITOR L SANTOS RPH

MEDICARE: HEITOR L SANTOS RPH
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
1183500000XPharmacist39876TX

General Provider Information

NPI Number : 1649543125
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEITOR L SANTOS RPH
Provider Business Mailing Address
First Line : 1831 N LEE TREVINO DR
Second Line :
City : EL PASO
State : TX
Zip : 79936-4107
Country : US
Telephone Number : 915-594-1129
Fax Number :
Provider Business Practice Location Address
First Line : 1831 N LEE TREVINO DR
Second Line :
City : EL PASO
State : TX
Zip : 79936-4107
Country : US
Telephone Number : 915-594-1129
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2012
Last Update Date : 02/14/2012

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Directions to “ HEITOR L SANTOS RPH” Practice Location

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