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NPI Code Detail

MEDICARE: WILLIAM HUNTLEY KLEIN PHARMACIST

MEDICARE: WILLIAM HUNTLEY KLEIN PHARMACIST
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
1183500000XPharmacist10430CO

General Provider Information

NPI Number : 1083057855
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM HUNTLEY KLEIN PHARMACIST
Provider Business Mailing Address
First Line : PO BOX 5140
Second Line :
City : AVON
State : CO
Zip : 81620-5140
Country : US
Telephone Number : 970-949-5437
Fax Number : 970-949-0576
Provider Business Practice Location Address
First Line : 0072 BEAVER CREEK PL
Second Line :
City : AVON
State : CO
Zip : 81620-5140
Country : US
Telephone Number : 970-949-5437
Fax Number : 970-949-0576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2013
Last Update Date : 04/11/2013

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Directions to “ WILLIAM HUNTLEY KLEIN PHARMACIST” Practice Location

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