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NPI Code Detail

MEDICARE: TAMARA DEGIOVANNI RPH

MEDICARE: TAMARA DEGIOVANNI RPH
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
1183500000XPharmacist15507NV

General Provider Information

NPI Number : 1376888990
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA DEGIOVANNI RPH
Provider Business Mailing Address
First Line : 1329 US HIGHWAY 395 N
Second Line :
City : GARDNERVILLE
State : NV
Zip : 89410-5391
Country : US
Telephone Number : 775-782-5530
Fax Number :
Provider Business Practice Location Address
First Line : 1329 US HIGHWAY 395 N
Second Line :
City : GARDNERVILLE
State : NV
Zip : 89410-5391
Country : US
Telephone Number : 775-782-5530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2012
Last Update Date : 12/07/2012

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Directions to “ TAMARA DEGIOVANNI RPH” Practice Location

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