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NPI Code Detail

MEDICARE: SAVANNAH VERDIER PHARMD

MEDICARE: SAVANNAH VERDIER PHARMD
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
1183500000XPharmacistPD14053AR

General Provider Information

NPI Number : 1790385664
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH VERDIER PHARMD
Provider Business Mailing Address
First Line : 3475 BLACK FOREST DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-6524
Country : US
Telephone Number : 479-442-2276
Fax Number :
Provider Business Practice Location Address
First Line : 3475 BLACK FOREST DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-6524
Country : US
Telephone Number : 479-442-2276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 10/29/2020

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Directions to “ SAVANNAH VERDIER PHARMD” Practice Location

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