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NPI Code Detail

MEDICARE: DR. BRANDON SALKE PHARM.D.

MEDICARE: DR. BRANDON SALKE 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
1183500000XPharmacist2012027495MO

General Provider Information

NPI Number : 1700120607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON SALKE PHARM.D.
Provider Business Mailing Address
First Line : 4060 WEDGEWAY CT
Second Line :
City : EARTH CITY
State : MO
Zip : 63045-1213
Country : US
Telephone Number : 888-287-2017
Fax Number :
Provider Business Practice Location Address
First Line : 4060 WEDGEWAY CT
Second Line :
City : EARTH CITY
State : MO
Zip : 63045-1213
Country : US
Telephone Number : 888-287-2017
Fax Number : 888-287-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 03/17/2018

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