MEDICARE: MRS. VICKI R SINGLETON 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
1	183500000X	Pharmacist	32918	TX
2	183500000X	Pharmacist	5122	TN

General Provider Information

NPI Number	:	1750373122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VICKI R SINGLETON RPH

Provider Business Mailing Address
First Line	:	14718 KINSEM
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-0954
Country	:	US
Telephone Number	:	210-479-5642
Fax Number	:

Provider Business Practice Location Address
First Line	:	2827 BABCOCK RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4813
Country	:	US
Telephone Number	:	210-705-6194
Fax Number	:	210-705-6087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/08/2007

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