MEDICARE: MR. ANTHONY TODD RATTI 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
1	183500000X	Pharmacist	5302029673	MI

General Provider Information

NPI Number	:	1396840302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY TODD RATTI RPH

Provider Business Mailing Address
First Line	:	215 COLORADO
Second Line	:
City	:	AUGUSTA
State	:	MI
Zip	:	49017
Country	:	US
Telephone Number	:	269-966-9248
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 S WEBSTER
Second Line	:	ASKLERS AUGUSTA PHARMACY N MORE
City	:	AUGUSTA
State	:	MI
Zip	:	49012
Country	:	US
Telephone Number	:	269-731-2400
Fax Number	:	269-731-2465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/08/2007

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