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NPI Code Detail

MEDICARE: MRS. KELLY WERLING PHARM D

MEDICARE: MRS. KELLY WERLING 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
1183500000XPharmacist03233005-2OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801295449
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLY WERLING PHARM D
Provider Business Mailing Address
First Line : PO BOX 605
Second Line : 110 E. BUTLER STREET
City : FORT RECOVERY
State : OH
Zip : 45846-0605
Country : US
Telephone Number : 419-375-2323
Fax Number : 419-375-4488
Provider Business Practice Location Address
First Line : 102 NORTH WAYNE STREET
Second Line :
City : FORT RECOVERY
State : OH
Zip : 45846-0605
Country : US
Telephone Number : 419-375-2323
Fax Number : 419-375-4488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2014
Last Update Date : 08/20/2014

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