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NPI Code Detail

MEDICARE: DR. AMBER VERDELL PHARMD

MEDICARE: DR. AMBER VERDELL PHARMD
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
1183500000XPharmacist73927CA
21835N1003XNutrition Support Pharmacist73927CA
31835P1200XPharmacotherapy Pharmacist73927CA
41835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistAPH10011CA

General Provider Information

NPI Number : 1568986677
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMBER VERDELL PHARMD
Provider Business Mailing Address
First Line : 590 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-2115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 590 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-2115
Country : US
Telephone Number : 323-425-9939
Fax Number : 520-989-1139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2017
Last Update Date : 06/11/2020

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Directions to “ DR. AMBER VERDELL PHARMD” Practice Location

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