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NPI Code Detail

MEDICARE: REBECCA MONTANARI

MEDICARE:   REBECCA  MONTANARI
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
1183500000XPharmacist124234MN

General Provider Information

NPI Number : 1376170191
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MONTANARI
Provider Business Mailing Address
First Line : 4532 PILLSBURY AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55419-4936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2080 FORD PKWY
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1813
Country : US
Telephone Number : 651-605-3634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 03/23/2020

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Directions to “ REBECCA MONTANARI ” Practice Location

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