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NPI Code Detail

MEDICARE: DR. CRYSTAL DELGADO PHARMD

MEDICARE: DR. CRYSTAL DELGADO 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
1183500000XPharmacist45587TX

General Provider Information

NPI Number : 1801173380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRYSTAL DELGADO PHARMD
Provider Business Mailing Address
First Line : 2800 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-2531
Country : US
Telephone Number : 915-533-6883
Fax Number : 915-533-3151
Provider Business Practice Location Address
First Line : 2800 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-2531
Country : US
Telephone Number : 915-533-6883
Fax Number : 915-533-3151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2011
Last Update Date : 11/10/2011

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