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NPI Code Detail

MEDICARE: DR. DAVID JEREMY SOHL PHARMD

MEDICARE: DR. DAVID JEREMY SOHL PHARMD
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
1183500000XPharmacist19958IA
2183500000XPharmacist43014TX

General Provider Information

NPI Number : 1356328603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID JEREMY SOHL PHARMD
Provider Business Mailing Address
First Line : 6013 STETSON CIR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-3000
Country : US
Telephone Number : 361-961-6053
Fax Number : 361-961-2499
Provider Business Practice Location Address
First Line : 10651 E ST
Second Line : NAVAL HOSPITAL CORPUS CHRISTI PHARMACY
City : CORPUS CHRISTI
State : TX
Zip : 78419-5130
Country : US
Telephone Number : 361-961-6053
Fax Number : 361-961-2499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 07/08/2007

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