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NPI Code Detail

MEDICARE: MARLENE ANGELICA NUYDA

MEDICARE: MARLENE ANGELICA NUYDA
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
1183500000XPharmacist67458TX

General Provider Information

NPI Number : 1801498472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE ANGELICA NUYDA
Provider Business Mailing Address
First Line : 730 W EXCHANGE PKWY
Second Line :
City : ALLEN
State : TX
Zip : 75013-7078
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 W EXCHANGE PKWY
Second Line :
City : ALLEN
State : TX
Zip : 75013-7078
Country : US
Telephone Number : 972-649-0364
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2020
Last Update Date : 11/10/2020

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Directions to “ MARLENE ANGELICA NUYDA ” Practice Location

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