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NPI Code Detail

MEDICARE: STEPHANIE DELA CRUZ PHARMD.

MEDICARE: STEPHANIE DELA CRUZ 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
1183500000XPharmacist53653TX

General Provider Information

NPI Number : 1922431964
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE DELA CRUZ PHARMD.
Provider Business Mailing Address
First Line : 3301 DENTON HWY
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3301 DENTON HWY
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number : 817-222-9247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2013
Last Update Date : 08/13/2013

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Directions to “ STEPHANIE DELA CRUZ PHARMD.” Practice Location

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