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NPI Code Detail

MEDICARE: ROWLAND HUMPHREYS TIBBOTT

MEDICARE: ROWLAND HUMPHREYS TIBBOTT
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
1183500000XPharmacistRP025296LPA

General Provider Information

NPI Number : 1659461051
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROWLAND HUMPHREYS TIBBOTT
Provider Business Mailing Address
First Line : 1 KIMBALL PLZ
Second Line :
City : EBENSBURG
State : PA
Zip : 15931-1706
Country : US
Telephone Number : 814-472-9390
Fax Number :
Provider Business Practice Location Address
First Line : 1 KIMBALL PLZ
Second Line :
City : EBENSBURG
State : PA
Zip : 15931-1706
Country : US
Telephone Number : 814-472-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2006
Last Update Date : 07/08/2007

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Directions to “ ROWLAND HUMPHREYS TIBBOTT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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