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NPI Code Detail

MEDICARE: JASMIN PENAFIEL

MEDICARE:   JASMIN  PENAFIEL
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
1183500000XPharmacist69609TX

General Provider Information

NPI Number : 1659035087
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN PENAFIEL
Provider Business Mailing Address
First Line : 1212 MCRAE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79925-7502
Country : US
Telephone Number : 915-594-4621
Fax Number :
Provider Business Practice Location Address
First Line : 1212 MCRAE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79925-7502
Country : US
Telephone Number : 915-594-4621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2021
Last Update Date : 10/21/2021

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Directions to “ JASMIN PENAFIEL ” Practice Location

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