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NPI Code Detail

MEDICARE: TERRI L TODD RPH

MEDICARE:   TERRI L TODD  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
11835P2201XAmbulatory Care PharmacistRPH014564GA

General Provider Information

NPI Number : 1528662814
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI L TODD RPH
Provider Business Mailing Address
First Line : 3439 ASHFORD DUNWOODY RD NE
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30319-2546
Country : US
Telephone Number : 770-216-8605
Fax Number :
Provider Business Practice Location Address
First Line : 3439 ASHFORD DUNWOODY RD NE
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30319-2546
Country : US
Telephone Number : 770-216-8605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2020
Last Update Date : 11/26/2020

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Directions to “ TERRI L TODD RPH” Practice Location

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