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NPI Code Detail

MEDICARE: MR. FRANK JOSEPH HOMA RPH

MEDICARE: MR. FRANK JOSEPH HOMA 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
1183500000XPharmacist028804MO

General Provider Information

NPI Number : 1457636979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANK JOSEPH HOMA RPH
Provider Business Mailing Address
First Line : 6071 TELEGRAPH RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-4758
Country : US
Telephone Number : 314-846-9265
Fax Number : 314-846-9270
Provider Business Practice Location Address
First Line : 6071 TELEGRAPH RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-4758
Country : US
Telephone Number : 314-846-9265
Fax Number : 314-846-9270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2011
Last Update Date : 10/16/2011

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