MEDICARE: MRS. CHARMAGNE KNEIP R.PH.

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
1	183500000X	Pharmacist	38403	TX

General Provider Information

NPI Number	:	1821470741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHARMAGNE KNEIP R.PH.

Provider Business Mailing Address
First Line	:	2755 W LAKE HOUSTON PKWY
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5223
Country	:	US
Telephone Number	:	713-442-2179
Fax Number	:	713-442-2194

Provider Business Practice Location Address
First Line	:	2755 W LAKE HOUSTON PKWY
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5223
Country	:	US
Telephone Number	:	713-442-2179
Fax Number	:	713-442-2194

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2015
Last Update Date	:	06/27/2015

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