MEDICARE: MRS. CARINE OPSOMER 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
1	183500000X	Pharmacist	69106	TX

General Provider Information

NPI Number	:	1952971665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARINE OPSOMER PHARMD

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 260
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2728
Country	:	US
Telephone Number	:	713-797-1410
Fax Number	:

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 260
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2728
Country	:	US
Telephone Number	:	713-797-1410
Fax Number	:

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

Provider Enumeration Date	:	06/26/2021
Last Update Date	:	08/19/2021

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