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NPI Code Detail

MEDICARE: DR. SOPHIE E PIETRANEK RPH

MEDICARE: DR. SOPHIE E PIETRANEK 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
1183500000XPharmacist26029823AIN

General Provider Information

NPI Number : 1215663356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOPHIE E PIETRANEK RPH
Provider Business Mailing Address
First Line : 56 BALMORAL WAY APT 2E
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-6421
Country : US
Telephone Number : 224-548-4441
Fax Number :
Provider Business Practice Location Address
First Line : 4650 S EMERSON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5932
Country : US
Telephone Number : 317-783-1484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2022
Last Update Date : 07/30/2022

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