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NPI Code Detail

MEDICARE: DR. STEPHANIE WALLEN ULMER PHARMD

MEDICARE: DR. STEPHANIE WALLEN ULMER 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
1183500000XPharmacist16471NC

General Provider Information

NPI Number : 1659754604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE WALLEN ULMER PHARMD
Provider Business Mailing Address
First Line : 2 MEADOW BROOK DR
Second Line :
City : FLETCHER
State : NC
Zip : 28732-9101
Country : US
Telephone Number : 828-702-1539
Fax Number :
Provider Business Practice Location Address
First Line : 11 RIVER RIDGE DR
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-1299
Country : US
Telephone Number : 828-298-6350
Fax Number : 828-299-3982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2015
Last Update Date : 07/08/2015

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