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NPI Code Detail

MEDICARE: MR. TODD ERIC EKLUM RPH

MEDICARE:  MR. TODD ERIC EKLUM  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
1183500000XPharmacist039992NY

General Provider Information

NPI Number : 1033433412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TODD ERIC EKLUM RPH
Provider Business Mailing Address
First Line : 303 PINE STREET
Second Line :
City : SOUTH DAYTON
State : NY
Zip : 14138-0290
Country : US
Telephone Number : 716-988-3410
Fax Number : 716-988-3720
Provider Business Practice Location Address
First Line : 303 PINE STREET
Second Line :
City : SOUTH DAYTON
State : NY
Zip : 14138-0290
Country : US
Telephone Number : 716-988-3410
Fax Number : 716-988-3720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2010
Last Update Date : 03/15/2010

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Directions to “ MR. TODD ERIC EKLUM RPH” Practice Location

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