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NPI Code Detail

MEDICARE: DR. ANDREA CARABETTA PHARM D.

MEDICARE:  DR. ANDREA  CARABETTA  PHARM D.
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
1183500000XPharmacist2010026490MO

General Provider Information

NPI Number : 1679965313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA CARABETTA PHARM D.
Provider Business Mailing Address
First Line : 6414 N SPRUCE AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-5057
Country : US
Telephone Number : 816-304-3193
Fax Number : 816-463-4829
Provider Business Practice Location Address
First Line : 6414 N SPRUCE AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-5057
Country : US
Telephone Number : 816-304-3193
Fax Number : 816-463-4829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2015
Last Update Date : 03/03/2015

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