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NPI Code Detail

MEDICARE: DR. BRETT PATRICK MCCONNELL PHARM. D.

MEDICARE: DR. BRETT PATRICK MCCONNELL 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
1183500000XPharmacist20555IA

General Provider Information

NPI Number : 1467645275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRETT PATRICK MCCONNELL PHARM. D.
Provider Business Mailing Address
First Line : 120 S STORY ST
Second Line : C
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-3460
Fax Number : 515-432-7169
Provider Business Practice Location Address
First Line : 120 S STORY ST
Second Line : C
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-3460
Fax Number : 515-432-7169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2007
Last Update Date : 08/24/2007

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