MEDICARE: MR. TODD MICHAEL SIGLER 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	03-1-25972	OH
2	183500000X	Pharmacist	RP045315L	PA
3	183500000X	Pharmacist	PS33856	FL

General Provider Information

NPI Number	:	1063402899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TODD MICHAEL SIGLER RPH

Provider Business Mailing Address
First Line	:	2995 HARDINS RUN RD
Second Line	:
City	:	NEW CUMBERLAND
State	:	WV
Zip	:	26047-3089
Country	:	US
Telephone Number	:	304-564-3097
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 W MAIN ST
Second Line	:
City	:	CARROLLTON
State	:	OH
Zip	:	44615-1029
Country	:	US
Telephone Number	:	330-627-4521
Fax Number	:	330-627-4533

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

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	07/08/2007

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