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NPI Code Detail

MEDICARE: DR. BENNETT CHARLES NOELL PHARMD

MEDICARE: DR. BENNETT CHARLES NOELL 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist20981MD
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist21784NC

General Provider Information

NPI Number : 1225376619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENNETT CHARLES NOELL PHARMD
Provider Business Mailing Address
First Line : 1025 MOREHEAD MEDICAL DR STE 600
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2969
Country : US
Telephone Number : 704-446-4844
Fax Number : 704-446-4875
Provider Business Practice Location Address
First Line : 1025 MOREHEAD MEDICAL DR STE 600
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2969
Country : US
Telephone Number : 704-446-4844
Fax Number : 704-446-4875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2013
Last Update Date : 12/08/2014

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