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NPI Code Detail

MEDICARE: ANNE M LINDEMER RPH

MEDICARE: ANNE M LINDEMER 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
1183500000XPharmacist012279AZ

General Provider Information

NPI Number : 1730419839
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE M LINDEMER RPH
Provider Business Mailing Address
First Line : 10315 E BROADWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85748-3409
Country : US
Telephone Number : 520-886-2108
Fax Number : 520-886-1019
Provider Business Practice Location Address
First Line : 10315 E BROADWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85748-3409
Country : US
Telephone Number : 520-886-2108
Fax Number : 520-886-1019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2010
Last Update Date : 01/12/2010

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