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NPI Code Detail

MEDICARE: CAROLINE DIDELOT RPH, PHARMD

MEDICARE:   CAROLINE  DIDELOT  RPH, 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
1183500000XPharmacist26027203AIN

General Provider Information

NPI Number : 1215706601
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE DIDELOT RPH, PHARMD
Provider Business Mailing Address
First Line : 2104 N LUTHER RD
Second Line :
City : GEORGETOWN
State : IN
Zip : 47122-9175
Country : US
Telephone Number : 502-648-4698
Fax Number :
Provider Business Practice Location Address
First Line : 260 LOGISTICS AVE
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-4672
Country : US
Telephone Number : 800-607-6861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2023
Last Update Date : 12/27/2023

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Directions to “ CAROLINE DIDELOT RPH, PHARMD” Practice Location

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