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NPI Code Detail

MEDICARE: M RENEE CULPEPPER RPH

MEDICARE: M RENEE CULPEPPER 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
1183500000XPharmacist44153TX

General Provider Information

NPI Number : 1699002717
Entity Type Code : Individual
Provider Name (Legal Business Name) : M RENEE CULPEPPER RPH
Provider Business Mailing Address
First Line : 2725 PURPLE SAGE CT
Second Line :
City : SAGINAW
State : TX
Zip : 76179-5546
Country : US
Telephone Number : 817-249-5434
Fax Number : 817-249-6231
Provider Business Practice Location Address
First Line : 8651 BENBROOK BLVD
Second Line :
City : BENBROOK
State : TX
Zip : 76126-2543
Country : US
Telephone Number : 817-249-5434
Fax Number : 817-249-6231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 11/10/2009

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Directions to “ M RENEE CULPEPPER RPH” Practice Location

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