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NPI Code Detail

MEDICARE: GRETCHEN M GAROFOLI PHARMD, BCACP

MEDICARE: GRETCHEN M GAROFOLI PHARMD, BCACP
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
1183500000XPharmacistRP443654PA
2183500000XPharmacist0202209425VA
3183500000XPharmacistRP0007580WV

General Provider Information

NPI Number : 1598071250
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN M GAROFOLI PHARMD, BCACP
Provider Business Mailing Address
First Line : 1124 HEALTH SCIENCES CENTER
Second Line : P.O. BOX 9520
City : MORGANTOWN
State : WV
Zip : 26506
Country : US
Telephone Number : 304-293-1456
Fax Number : 304-293-7672
Provider Business Practice Location Address
First Line : 215 DON KNOTTS BLVD
Second Line : SUITE 120
City : MORGANTOWN
State : WV
Zip : 26501-6734
Country : US
Telephone Number : 304-225-7979
Fax Number : 304-225-3784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2010
Last Update Date : 07/01/2013

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