MEDICARE: NASYA SUAREZ TORRES RPH

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	88799	CA

General Provider Information

NPI Number	:	1932975174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASYA SUAREZ TORRES RPH

Provider Business Mailing Address
First Line	:	1434 E 215TH ST
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-1707
Country	:	US
Telephone Number	:	619-370-0092
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 E FLORENCE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5832
Country	:	US
Telephone Number	:	323-589-1916
Fax Number	:

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

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	11/29/2023

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