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NPI Code Detail

MEDICARE: DR. KRISTA BIEDIGER PHARM.D

MEDICARE: DR. KRISTA BIEDIGER PHARM.D
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
1183500000XPharmacist44488TX

General Provider Information

NPI Number : 1740595107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTA BIEDIGER PHARM.D
Provider Business Mailing Address
First Line : 10 HORSESHOE CYN
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-7340
Country : US
Telephone Number : 210-479-4039
Fax Number :
Provider Business Practice Location Address
First Line : 4821 BROADWAY ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-5703
Country : US
Telephone Number : 210-824-0515
Fax Number : 210-805-8951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2010
Last Update Date : 08/10/2010

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