MEDICARE: DR. STEPHEN CHARLES TARBELL II 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
1	183500000X	Pharmacist	2027	AK

General Provider Information

NPI Number	:	1073891503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN CHARLES TARBELL II PHARM.D.

Provider Business Mailing Address
First Line	:	1721 E. GEORGE PARKS HWY.
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99654-0000
Country	:	US
Telephone Number	:	907-631-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1721 E. GEORGE PARKS HWY.
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99654-0000
Country	:	US
Telephone Number	:	907-631-0300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	08/02/2011

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