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NPI Code Detail

MEDICARE: DR. VINCENT J NEGRELLI PHARMD

MEDICARE:  DR. VINCENT J NEGRELLI  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
1183500000XPharmacist9057891UT
2183500000XPharmacist0202211453VA
3183500000XPharmacist22663NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10202211453OTHERVABOARD OF PHARMACY
29057891OTHERUTPHARMACY
322663OTHERNCBOARD OF PHARMACY

General Provider Information

NPI Number : 1366889446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT J NEGRELLI PHARMD
Provider Business Mailing Address
First Line : 3676 S 2245 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-2966
Country : US
Telephone Number : 919-633-7710
Fax Number :
Provider Business Practice Location Address
First Line : 2305 OAKLAWN BLVD
Second Line :
City : HOPEWELL
State : VA
Zip : 23860-5032
Country : US
Telephone Number : 804-458-1231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2013
Last Update Date : 10/16/2014

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Directions to “ DR. VINCENT J NEGRELLI PHARMD” Practice Location

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