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NPI Code Detail

MEDICARE: DR. BREANNE RENEE BELL PHARM. D.

MEDICARE: DR. BREANNE RENEE BELL 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
1183500000XPharmacist3031WY

General Provider Information

NPI Number : 1720070543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BREANNE RENEE BELL PHARM. D.
Provider Business Mailing Address
First Line : 1328 MIRACLE PKWY
Second Line :
City : CHEYENNE
State : WY
Zip : 82009-1813
Country : US
Telephone Number : 307-214-6095
Fax Number :
Provider Business Practice Location Address
First Line : 2360 E PERSHING BLVD
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-5356
Country : US
Telephone Number : 307-778-7550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 01/18/2011

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