MEDICARE: DR. NATALIE PRATTE I 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
1	183500000X	Pharmacist	RP449346	PA
2	183500000X	Pharmacist	PS53614	FL
3	183500000X	Pharmacist	03233704	OH

General Provider Information

NPI Number	:	1427574466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE PRATTE I PHARMD

Provider Business Mailing Address
First Line	:	115 CLIFFSIDE COMMONS DR
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-2281
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22160 CENTER RIDGE RD
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-3926
Country	:	US
Telephone Number	:	440-356-3287
Fax Number	:

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

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	08/22/2017

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