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NPI Code Detail

MEDICARE: DR. DIAMOND PHILLIPS PHARMD

MEDICARE: DR. DIAMOND PHILLIPS 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
1183500000XPharmacist33299OH

General Provider Information

NPI Number : 1366023475
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIAMOND PHILLIPS PHARMD
Provider Business Mailing Address
First Line : 1156 POMONA RD
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44121-2433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 127 E PLEASANT VALLEY RD
Second Line :
City : SEVEN HILLS
State : OH
Zip : 44131-5601
Country : US
Telephone Number : 216-901-9782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2021
Last Update Date : 04/20/2021

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Directions to “ DR. DIAMOND PHILLIPS PHARMD” Practice Location

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