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NPI Code Detail

MEDICARE: TODD MICHAEL WETHERILL RPH

MEDICARE: TODD MICHAEL WETHERILL 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
1183500000XPharmacist03317032OH

General Provider Information

NPI Number : 1770221236
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD MICHAEL WETHERILL RPH
Provider Business Mailing Address
First Line : 763 MILITARY DR
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-8132
Country : US
Telephone Number : 614-935-2840
Fax Number :
Provider Business Practice Location Address
First Line : 3282 TREMONT RD
Second Line :
City : UPPER ARLINGTON
State : OH
Zip : 43221-2040
Country : US
Telephone Number : 614-326-1288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2022
Last Update Date : 05/24/2022

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