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NPI Code Detail

MEDICARE: DR. GEOFFREY A. RICKRODE PHARM.D

MEDICARE: DR. GEOFFREY A. RICKRODE PHARM.D
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
11835P1200XPharmacotherapy Pharmacist3389NH

General Provider Information

NPI Number : 1447467006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFFREY A. RICKRODE PHARM.D
Provider Business Mailing Address
First Line : 1 MEDICAL CENTER DR
Second Line : PHARMACY DEPARTMENT
City : LEBANON
State : NH
Zip : 03756-1000
Country : US
Telephone Number : 603-650-5593
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line : PHARMACY DEPARTMENT
City : LEBANON
State : NH
Zip : 03756-1000
Country : US
Telephone Number : 603-650-5593
Fax Number : 603-650-4454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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