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NPI Code Detail

MEDICARE: MR. STEPHEN DOWE BRINKRUFF RPH

MEDICARE: MR. STEPHEN DOWE BRINKRUFF RPH
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
1183500000XPharmacist26021300AIN

General Provider Information

NPI Number : 1710262324
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN DOWE BRINKRUFF RPH
Provider Business Mailing Address
First Line : 8281 COURTNEY DR
Second Line :
City : FISHERS
State : IN
Zip : 46038-4418
Country : US
Telephone Number : 317-432-1110
Fax Number :
Provider Business Practice Location Address
First Line : 11020 PENDLETON PIKE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-2817
Country : US
Telephone Number : 317-826-3903
Fax Number : 317-826-4515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2011
Last Update Date : 10/14/2011

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