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NPI Code Detail

MEDICARE: DR. FREDERICK LERI PHARM.D.

MEDICARE: DR. FREDERICK LERI 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
11835P1200XPharmacotherapy PharmacistRP034395TPA

General Provider Information

NPI Number : 1538161799
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK LERI PHARM.D.
Provider Business Mailing Address
First Line : 29 GREYSTONE DR
Second Line :
City : MOUNTAIN TOP
State : PA
Zip : 18707-1282
Country : US
Telephone Number : 570-474-0635
Fax Number : 570-474-0649
Provider Business Practice Location Address
First Line : 700 QUINCY AVE
Second Line :
City : SCRANTON
State : PA
Zip : 18510-1724
Country : US
Telephone Number : 570-340-2270
Fax Number : 570-340-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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