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NPI Code Detail

MEDICARE: MRS. LEEANN KEPHART WEBSTER R.PH, CACP

MEDICARE: MRS. LEEANN KEPHART WEBSTER R.PH, CACP
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
11835P1200XPharmacotherapy PharmacistRP043331LPA

General Provider Information

NPI Number : 1164494035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEEANN KEPHART WEBSTER R.PH, CACP
Provider Business Mailing Address
First Line : 148 STONE ROW LN
Second Line :
City : SPRING MILLS
State : PA
Zip : 16875-8017
Country : US
Telephone Number : 814-422-8000
Fax Number :
Provider Business Practice Location Address
First Line : 21 GEISINGER LN
Second Line :
City : LEWISTOWN
State : PA
Zip : 17044-3400
Country : US
Telephone Number : 714-242-4275
Fax Number : 814-231-6275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 07/08/2007

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