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NPI Code Detail

MEDICARE: LAUREN RETTON

MEDICARE: LAUREN RETTON
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
1183500000XPharmacist0202215210VA

General Provider Information

NPI Number : 1669063988
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN RETTON
Provider Business Mailing Address
First Line : 5101 DUKE ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22304-2905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5101 DUKE ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22304-2905
Country : US
Telephone Number : 703-823-7430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2021
Last Update Date : 01/29/2021

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Directions to “ LAUREN RETTON ” Practice Location

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