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NPI Code Detail

MEDICARE: BRYAN SPRINGHETTI PHARMD

MEDICARE: BRYAN SPRINGHETTI 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
1183500000XPharmacist018019KY

General Provider Information

NPI Number : 1407468812
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN SPRINGHETTI PHARMD
Provider Business Mailing Address
First Line : 3318 ROBIN RD APT 3
Second Line :
City : LOUISVILLE
State : KY
Zip : 40213-1355
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1475 DIXIE HWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40210-1767
Country : US
Telephone Number : 502-776-1840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2020
Last Update Date : 08/18/2020

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Directions to “ BRYAN SPRINGHETTI PHARMD” Practice Location

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