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NPI Code Detail

MEDICARE: WILLIAM KRESEL JR. BS PHARMACY

MEDICARE: WILLIAM KRESEL JR. BS PHARMACY
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
1183500000XPharmacist41630CA

General Provider Information

NPI Number : 1063712115
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM KRESEL JR. BS PHARMACY
Provider Business Mailing Address
First Line : 4733 E PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-5219
Country : US
Telephone Number : 760-324-8269
Fax Number : 760-202-3432
Provider Business Practice Location Address
First Line : 4733 E PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-5219
Country : US
Telephone Number : 760-324-8269
Fax Number : 760-202-3432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2010
Last Update Date : 10/22/2010

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