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NPI Code Detail

MEDICARE: MERCEDITA HERRERA MSPH

MEDICARE: MERCEDITA HERRERA MSPH
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
1183500000XPharmacistRPH022459GA

General Provider Information

NPI Number : 1942507371
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDITA HERRERA MSPH
Provider Business Mailing Address
First Line : 1490 PLEASANT HILL RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-4674
Country : US
Telephone Number : 770-921-9976
Fax Number : 770-921-9916
Provider Business Practice Location Address
First Line : 1490 PLEASANT HILL RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-4674
Country : US
Telephone Number : 770-921-9976
Fax Number : 770-921-9916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2011
Last Update Date : 12/27/2022

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Directions to “ MERCEDITA HERRERA MSPH” Practice Location

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