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NPI Code Detail

MEDICARE: DARREL WILLIAM DUNKER

MEDICARE: DARREL WILLIAM DUNKER
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
1183500000XPharmacist03118892OH

General Provider Information

NPI Number : 1053696179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREL WILLIAM DUNKER
Provider Business Mailing Address
First Line : 947 CINCINNATI BATAVIA PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1303
Country : US
Telephone Number : 513-943-2801
Fax Number :
Provider Business Practice Location Address
First Line : 947 CINCINNATI BATAVIA PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1303
Country : US
Telephone Number : 513-943-2801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 11/16/2020

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