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NPI Code Detail

MEDICARE: MRS. MONA KASPO R.P.H

MEDICARE: MRS. MONA KASPO R.P.H
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 Pharmacist5302031707MI

General Provider Information

NPI Number : 1629489984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONA KASPO R.P.H
Provider Business Mailing Address
First Line : 3175 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5042
Country : US
Telephone Number : 248-844-5033
Fax Number : 248-844-5065
Provider Business Practice Location Address
First Line : 3175 S ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5042
Country : US
Telephone Number : 248-844-5033
Fax Number : 248-844-5065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2014
Last Update Date : 05/08/2014

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