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NPI Code Detail

MEDICARE: DENICE LOESCH PHARMD

MEDICARE: DENICE LOESCH 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
1183500000XPharmacist26023989AIN

General Provider Information

NPI Number : 1366729865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENICE LOESCH PHARMD
Provider Business Mailing Address
First Line : 1865 N NATIONAL RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5194
Country : US
Telephone Number : 812-376-6938
Fax Number : 812-376-6938
Provider Business Practice Location Address
First Line : 1865 N NATIONAL RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5194
Country : US
Telephone Number : 812-376-6938
Fax Number : 812-376-6938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2011
Last Update Date : 11/11/2011

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