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NPI Code Detail

MEDICARE: NINA BOAITEY PHARMD

MEDICARE: NINA BOAITEY 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist44869TX

General Provider Information

NPI Number : 1811224876
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA BOAITEY PHARMD
Provider Business Mailing Address
First Line : 388 UVALDE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77015-2213
Country : US
Telephone Number : 713-455-9944
Fax Number :
Provider Business Practice Location Address
First Line : 388 UVALDE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77015-2213
Country : US
Telephone Number : 713-455-9944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2009
Last Update Date : 11/12/2009

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