MEDICARE: DR. DIMENT D SINGH 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
1	183500000X	Pharmacist	03230941	OH

General Provider Information

NPI Number	:	1447534805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIMENT D SINGH PHARMD

Provider Business Mailing Address
First Line	:	2625 JUNIPER DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-5521
Country	:	US
Telephone Number	:	530-867-2568
Fax Number	:

Provider Business Practice Location Address
First Line	:	5815 SECOR RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-1421
Country	:	US
Telephone Number	:	419-472-8610
Fax Number	:

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

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	10/04/2011

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