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NPI Code Detail

MEDICARE: MR. JAMES JOSEPH STAGE PHARM. D.

MEDICARE: MR. JAMES JOSEPH STAGE 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
1183500000XPharmacist118524MN

General Provider Information

NPI Number : 1780823799
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES JOSEPH STAGE PHARM. D.
Provider Business Mailing Address
First Line : 1510 N BROADWAY
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4146
Country : US
Telephone Number : 507-289-3901
Fax Number : 507-289-2934
Provider Business Practice Location Address
First Line : 1518 N BROADWAY
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4146
Country : US
Telephone Number : 507-289-3901
Fax Number : 507-289-2934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2009
Last Update Date : 02/13/2009

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