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NPI Code Detail

MEDICARE: DR. MICHAEL WELTY PHARMD

MEDICARE: DR. MICHAEL WELTY 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
1183500000XPharmacist03233187OH

General Provider Information

NPI Number : 1619403318
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WELTY PHARMD
Provider Business Mailing Address
First Line : 720 W 3RD AVE
Second Line : APT 427
City : COLUMBUS
State : OH
Zip : 43212-3143
Country : US
Telephone Number : 330-360-3448
Fax Number :
Provider Business Practice Location Address
First Line : 5800 W BROAD ST
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-9531
Country : US
Telephone Number : 614-870-4354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2017
Last Update Date : 05/02/2017

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