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NPI Code Detail

MEDICARE: MR. JOHN WESTERMAN JR. PHARMACIST

MEDICARE: MR. JOHN WESTERMAN JR. PHARMACIST
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
1183500000XPharmacist032061NY

General Provider Information

NPI Number : 1639137656
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN WESTERMAN JR. PHARMACIST
Provider Business Mailing Address
First Line : PO BOX 2334
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-0464
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 147 LAKE ST
Second Line : SUITE 101
City : NEWBURGH
State : NY
Zip : 12550-5263
Country : US
Telephone Number : 845-561-4370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 05/14/2014

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