MEDICARE: PRECIOUS BYRD-HURKS PHARMD , 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	43508	TX

General Provider Information

NPI Number	:	1972910156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRECIOUS BYRD-HURKS PHARMD , RPH

Provider Business Mailing Address
First Line	:	6060 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2542
Country	:	US
Telephone Number	:	281-370-4110
Fax Number	:	281-370-1860

Provider Business Practice Location Address
First Line	:	6060 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2542
Country	:	US
Telephone Number	:	281-370-4110
Fax Number	:	281-370-1860

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

Provider Enumeration Date	:	07/19/2014
Last Update Date	:	07/19/2014

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