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NPI Code Detail

MEDICARE: KATHERINE MARIE TROMP PHARMD

MEDICARE: KATHERINE MARIE TROMP 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
1183500000XPharmacistPS47003FL
2183500000XPharmacistPH232519MA

General Provider Information

NPI Number : 1750654380
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MARIE TROMP PHARMD
Provider Business Mailing Address
First Line : 348 165TH CT NE
Second Line :
City : BRADENTON
State : FL
Zip : 34212-5531
Country : US
Telephone Number : 508-335-2076
Fax Number :
Provider Business Practice Location Address
First Line : 5000 LAKEWOOD RANCH BLVD
Second Line :
City : BRADENTON
State : FL
Zip : 34211-4909
Country : US
Telephone Number : 947-782-5644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2012
Last Update Date : 02/13/2012

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Directions to “ KATHERINE MARIE TROMP PHARMD” Practice Location

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