MEDICARE: DR. PAIGE HARMONY NORDMAN 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
1	183500000X	Pharmacist	1-100153	KS

General Provider Information

NPI Number	:	1659873164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAIGE HARMONY NORDMAN PHARMD

Provider Business Mailing Address
First Line	:	3920 10TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-3551
Country	:	US
Telephone Number	:	620-792-4467
Fax Number	:	620-792-4912

Provider Business Practice Location Address
First Line	:	3920 10TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-3551
Country	:	US
Telephone Number	:	620-792-4467
Fax Number	:	620-792-4912

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2018
Last Update Date	:	03/01/2018

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