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NPI Code Detail

MEDICARE: MRS. MYRA MIRANDA ZUVICH PHARMD

MEDICARE: MRS. MYRA MIRANDA ZUVICH 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
1183500000XPharmacist051.288868IL
2183500000XPharmacist28RI02138300NJ
3183500000XPharmacist042040-1NY

General Provider Information

NPI Number : 1801178801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MYRA MIRANDA ZUVICH PHARMD
Provider Business Mailing Address
First Line : 1601 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-6001
Country : US
Telephone Number : 312-642-4008
Fax Number : 312-642-5617
Provider Business Practice Location Address
First Line : 1601 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-6001
Country : US
Telephone Number : 312-642-4008
Fax Number : 312-642-5617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 09/15/2011

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