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NPI Code Detail

MEDICARE: NICHOLAS R DINEHART PHARMD

MEDICARE: NICHOLAS R DINEHART 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
1183500000XPharmacist5302413522MI

General Provider Information

NPI Number : 1376116889
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS R DINEHART PHARMD
Provider Business Mailing Address
First Line : 1015 E PICKARD ST
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-1062
Country : US
Telephone Number : 989-775-2110
Fax Number :
Provider Business Practice Location Address
First Line : 1015 E PICKARD ST
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-1062
Country : US
Telephone Number : 989-775-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2021
Last Update Date : 07/22/2021

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Directions to “ NICHOLAS R DINEHART PHARMD” Practice Location

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