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NPI Code Detail

MEDICARE: AMY MEIRICK PHARMD

MEDICARE: AMY MEIRICK PHARMD
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
1183500000XPharmacist54284TX

General Provider Information

NPI Number : 1780006080
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MEIRICK PHARMD
Provider Business Mailing Address
First Line : 9040 SILSBY DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-6198
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6984 RUFE SNOW DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76148-2356
Country : US
Telephone Number : 817-427-9353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2014
Last Update Date : 01/06/2014

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