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NPI Code Detail

MEDICARE: MR. MARK ANTHONY YAPEL RPH

MEDICARE: MR. MARK ANTHONY YAPEL 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
1183500000XPharmacist1149685MN

General Provider Information

NPI Number : 1174739254
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK ANTHONY YAPEL RPH
Provider Business Mailing Address
First Line : 55 KORBY RD
Second Line :
City : ESKO
State : MN
Zip : 55733-9711
Country : US
Telephone Number : 218-343-4364
Fax Number :
Provider Business Practice Location Address
First Line : 4501 GRAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55807-2754
Country : US
Telephone Number : 218-628-2897
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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