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NPI Code Detail

MEDICARE: JOSEPH THERRIEN

MEDICARE:   JOSEPH  THERRIEN
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
1183500000XPharmacist03122279OH

General Provider Information

NPI Number : 1447786546
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH THERRIEN
Provider Business Mailing Address
First Line : 199 GRACELAND BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1529
Country : US
Telephone Number : 614-410-1108
Fax Number :
Provider Business Practice Location Address
First Line : 199 GRACELAND BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1529
Country : US
Telephone Number : 614-410-1108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2017
Last Update Date : 09/09/2019

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Directions to “ JOSEPH THERRIEN ” Practice Location

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