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NPI Code Detail

MEDICARE: KASEY MUCHER PHARMD

MEDICARE: KASEY MUCHER PHARMD
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
1183500000XPharmacist03439781OH

General Provider Information

NPI Number : 1083220727
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASEY MUCHER PHARMD
Provider Business Mailing Address
First Line : 11095 LAKE AVE APT 2
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-1116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3308 DEEN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-6524
Country : US
Telephone Number : 817-702-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2020
Last Update Date : 01/23/2023

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Directions to “ KASEY MUCHER PHARMD” Practice Location

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