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NPI Code Detail

MEDICARE: MRS. JANETTE MARIETTE VIETZE

MEDICARE: MRS. JANETTE MARIETTE VIETZE
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
1183500000XPharmacistRP438927PA

General Provider Information

NPI Number : 1326346511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANETTE MARIETTE VIETZE
Provider Business Mailing Address
First Line : 360 E MAIN STREET
Second Line :
City : MIDDLETOWN
State : PA
Zip : 17057
Country : US
Telephone Number : 717-944-0262
Fax Number : 717-944-7602
Provider Business Practice Location Address
First Line : 360 E MAIN ST
Second Line :
City : MIDDLETOWN
State : PA
Zip : 17057-2232
Country : US
Telephone Number : 717-944-0262
Fax Number : 717-944-7602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2011
Last Update Date : 03/11/2011

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Directions to “ MRS. JANETTE MARIETTE VIETZE ” Practice Location

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