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NPI Code Detail

MEDICARE: IOSEF REPTA

MEDICARE: IOSEF REPTA
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
1183500000XPharmacistS021465AZ

General Provider Information

NPI Number : 1801262555
Entity Type Code : Individual
Provider Name (Legal Business Name) : IOSEF REPTA
Provider Business Mailing Address
First Line : 4430 E RAY RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-6092
Country : US
Telephone Number : 480-785-1006
Fax Number :
Provider Business Practice Location Address
First Line : 4430 E RAY RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-6092
Country : US
Telephone Number : 480-785-1006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2015
Last Update Date : 08/17/2015

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Directions to “ IOSEF REPTA ” Practice Location

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