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NPI Code Detail

MEDICARE: DR. ERIK ANGELOTTI PHARMD

MEDICARE: DR. ERIK ANGELOTTI 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
1183500000XPharmacist26025112AIN

General Provider Information

NPI Number : 1093157026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIK ANGELOTTI PHARMD
Provider Business Mailing Address
First Line : 10202 E WASHINGTON ST
Second Line : T-1214
City : INDIANAPOLIS
State : IN
Zip : 46229-2670
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10202 E WASHINGTON ST
Second Line : T-1214
City : INDIANAPOLIS
State : IN
Zip : 46229-2670
Country : US
Telephone Number : 317-899-3793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2013
Last Update Date : 07/18/2013

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