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NPI Code Detail

MEDICARE: BRET BACHMAN RPH

MEDICARE:   BRET  BACHMAN  RPH
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
1183500000XPharmacistPS61287FL

General Provider Information

NPI Number : 1710576467
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRET BACHMAN RPH
Provider Business Mailing Address
First Line : 3443 PINE TRACE CIR
Second Line :
City : VALRICO
State : FL
Zip : 33596-6156
Country : US
Telephone Number : 937-520-1044
Fax Number :
Provider Business Practice Location Address
First Line : 1704 W HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33603-1131
Country : US
Telephone Number : 813-872-6733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2021
Last Update Date : 01/15/2021

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Directions to “ BRET BACHMAN RPH” Practice Location

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