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NPI Code Detail

MEDICARE: WAYNE VEIOCK PHARMD

MEDICARE:   WAYNE  VEIOCK  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
1183500000XPharmacist17129NV

General Provider Information

NPI Number : 1700114410
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAYNE VEIOCK PHARMD
Provider Business Mailing Address
First Line : 1329 US HIGHWAY 395 N
Second Line : #1
City : GARDNERVILLE
State : NV
Zip : 89410-5391
Country : US
Telephone Number : 775-782-7042
Fax Number :
Provider Business Practice Location Address
First Line : 1329 US HIGHWAY 395 N
Second Line : #1
City : GARDNERVILLE
State : NV
Zip : 89410-5391
Country : US
Telephone Number : 775-782-7042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2009
Last Update Date : 11/19/2009

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Directions to “ WAYNE VEIOCK PHARMD” Practice Location

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