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NPI Code Detail

MEDICARE: MRS. KATHRYN M EBERLING RPH

MEDICARE: MRS. KATHRYN M EBERLING 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
1183500000XPharmacist3355MT

General Provider Information

NPI Number : 1285651935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN M EBERLING RPH
Provider Business Mailing Address
First Line : 106 DENA ST
Second Line :
City : PLENTYWOOD
State : MT
Zip : 59254-2114
Country : US
Telephone Number : 406-765-2351
Fax Number : 406-765-1811
Provider Business Practice Location Address
First Line : 119 N MAIN ST
Second Line :
City : PLENTYWOOD
State : MT
Zip : 59254-1817
Country : US
Telephone Number : 406-765-1810
Fax Number : 406-765-1811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

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