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NPI Code Detail

MEDICARE: ROBERT VERCEL RPH

MEDICARE:   ROBERT  VERCEL  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
1183500000XPharmacist26014632AIN

General Provider Information

NPI Number : 1194095653
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT VERCEL RPH
Provider Business Mailing Address
First Line : 2401 RIDGE RD
Second Line :
City : HIGHLAND
State : IN
Zip : 46322-1565
Country : US
Telephone Number : 219-838-1412
Fax Number :
Provider Business Practice Location Address
First Line : 2401 RIDGE ROAD
Second Line :
City : HIGHLAND
State : IN
Zip : 46322-1565
Country : US
Telephone Number : 219-838-1412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2011
Last Update Date : 12/30/2011

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Directions to “ ROBERT VERCEL RPH” Practice Location

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