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NPI Code Detail

MEDICARE: ELAINA MARIE BETTURA PHARMD

MEDICARE: ELAINA MARIE BETTURA 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
1183500000XPharmacist03237402OH

General Provider Information

NPI Number : 1205439312
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINA MARIE BETTURA PHARMD
Provider Business Mailing Address
First Line : 7292 FULTON DR NW
Second Line :
City : CANTON
State : OH
Zip : 44718-1525
Country : US
Telephone Number : 330-837-3095
Fax Number :
Provider Business Practice Location Address
First Line : 7292 FULTON DR NW
Second Line :
City : CANTON
State : OH
Zip : 44718-1525
Country : US
Telephone Number : 330-837-3095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ ELAINA MARIE BETTURA PHARMD” Practice Location

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