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NPI Code Detail

MEDICARE: JO R ALCALDE

MEDICARE: JO R ALCALDE
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
1183500000XPharmacist31817TX
21835P1200XPharmacotherapy Pharmacist31817TX

General Provider Information

NPI Number : 1881855252
Entity Type Code : Individual
Provider Name (Legal Business Name) : JO R ALCALDE
Provider Business Mailing Address
First Line : 24891 HIGHWAY 6
Second Line :
City : HEMPSTEAD
State : TX
Zip : 77445-7747
Country : US
Telephone Number : 800-869-8552
Fax Number :
Provider Business Practice Location Address
First Line : 24891 HIGHWAY 6
Second Line :
City : HEMPSTEAD
State : TX
Zip : 77445-7747
Country : US
Telephone Number : 800-869-8552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2008
Last Update Date : 06/18/2008

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Directions to “ JO R ALCALDE ” Practice Location

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