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NPI Code Detail

MEDICARE: DR. DIANE K TERP PHARM.D.

MEDICARE:  DR. DIANE K TERP  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
1183500000XPharmacist03314488OH

General Provider Information

NPI Number : 1770878431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE K TERP PHARM.D.
Provider Business Mailing Address
First Line : 8282 GOLDEN LINK BLVD
Second Line : TARGET-1841
City : MACEDONIA
State : OH
Zip : 44067-2067
Country : US
Telephone Number : 330-468-9183
Fax Number : 330-468-9183
Provider Business Practice Location Address
First Line : 8282 GOLDEN LINK BLVD
Second Line : TARGET-1841
City : MACEDONIA
State : OH
Zip : 44067-2067
Country : US
Telephone Number : 330-468-9183
Fax Number : 330-468-9183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2011
Last Update Date : 06/10/2011

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Directions to “ DR. DIANE K TERP PHARM.D.” Practice Location

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