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NPI Code Detail

MEDICARE: MR. JOHN PIERRE ARROSS JR. R.PH.

MEDICARE: MR. JOHN PIERRE ARROSS JR. R.PH.
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
1183500000XPharmacist2683WY

General Provider Information

NPI Number : 1588654420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN PIERRE ARROSS JR. R.PH.
Provider Business Mailing Address
First Line : 1231 WARWICK
Second Line :
City : CASPER
State : WY
Zip : 82609-3756
Country : US
Telephone Number : 307-235-8116
Fax Number :
Provider Business Practice Location Address
First Line : 1233 E 2ND ST
Second Line :
City : CASPER
State : WY
Zip : 82601-2926
Country : US
Telephone Number : 307-577-2890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2005
Last Update Date : 07/08/2007

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