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NPI Code Detail

MEDICARE: DR. JON VELOSO JR. PHARM.D.

MEDICARE: DR. JON VELOSO JR. PHARM.D.
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
1183500000XPharmacist49953TX

General Provider Information

NPI Number : 1932496205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JON VELOSO JR. PHARM.D.
Provider Business Mailing Address
First Line : PO BOX 70
Second Line :
City : KELLER
State : TX
Zip : 76244-0070
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9625 WHITE SETTLEMENT RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4406
Country : US
Telephone Number : 817-367-3469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 03/05/2019

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