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NPI Code Detail

MEDICARE: DR. SHANIELLE RYPMA PHARM.D.

MEDICARE: DR. SHANIELLE RYPMA 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
1183500000XPharmacistMI5302035900MI

General Provider Information

NPI Number : 1649609660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANIELLE RYPMA PHARM.D.
Provider Business Mailing Address
First Line : 3700 17 MILE RD NE
Second Line :
City : CEDAR SPRINGS
State : MI
Zip : 49319-7974
Country : US
Telephone Number : 616-696-4610
Fax Number : 616-696-4665
Provider Business Practice Location Address
First Line : 3700 17 MILE RD NE
Second Line :
City : CEDAR SPRINGS
State : MI
Zip : 49319-7974
Country : US
Telephone Number : 616-696-4610
Fax Number : 616-696-4665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2013
Last Update Date : 11/12/2013

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