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NPI Code Detail

MEDICARE: PATRICIA DOWNING STADELBACHER RPH

MEDICARE:   PATRICIA DOWNING STADELBACHER  RPH
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
1183500000XPharmacistE-07774MS

General Provider Information

NPI Number : 1174135578
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA DOWNING STADELBACHER RPH
Provider Business Mailing Address
First Line : 747 HIGHWAY 1 S
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-5958
Country : US
Telephone Number : 662-335-1429
Fax Number : 662-332-1872
Provider Business Practice Location Address
First Line : 747 HIGHWAY 1 S
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-5958
Country : US
Telephone Number : 662-335-1429
Fax Number : 662-332-1872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2020
Last Update Date : 08/18/2020

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Directions to “ PATRICIA DOWNING STADELBACHER RPH” Practice Location

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