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NPI Code Detail

MEDICARE: YAMIN ESCALANTE PHARM.D., RPH

MEDICARE: YAMIN ESCALANTE PHARM.D., 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
1183500000XPharmacist45902TX

General Provider Information

NPI Number : 1700393568
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAMIN ESCALANTE PHARM.D., RPH
Provider Business Mailing Address
First Line : 5200 FAIRMONT PKWY
Second Line :
City : PASADENA
State : TX
Zip : 77505-3802
Country : US
Telephone Number : 281-487-8091
Fax Number : 281-487-9271
Provider Business Practice Location Address
First Line : 5200 FAIRMONT PKWY
Second Line :
City : PASADENA
State : TX
Zip : 77505-3802
Country : US
Telephone Number : 281-487-8091
Fax Number : 281-487-9271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2018
Last Update Date : 01/02/2018

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