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NPI Code Detail

MEDICARE: EMILY SOMMERS

MEDICARE: EMILY SOMMERS
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
1183500000XPharmacist5302041408MI
2183500000XPharmacistPHA.0023084CO

General Provider Information

NPI Number : 1255886172
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SOMMERS
Provider Business Mailing Address
First Line : 6020 KALAMAZOO AVE SE
Second Line :
City : KENTWOOD
State : MI
Zip : 49508-7018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 E MIDWAY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80234-7063
Country : US
Telephone Number : 616-698-9157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2016
Last Update Date : 08/25/2020

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Directions to “ EMILY SOMMERS ” Practice Location

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