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NPI Code Detail

MEDICARE: DR. JUSTIN ANGLES PHARMD, BSPS, RPH

MEDICARE: DR. JUSTIN ANGLES PHARMD, BSPS, 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
1183500000XPharmacist03132095OH

General Provider Information

NPI Number : 1811422710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN ANGLES PHARMD, BSPS, RPH
Provider Business Mailing Address
First Line : 4533 MONROE ST
Second Line :
City : TOLEDO
State : OH
Zip : 43613-4700
Country : US
Telephone Number : 419-471-9240
Fax Number : 419-471-9458
Provider Business Practice Location Address
First Line : 4533 MONROE ST
Second Line :
City : TOLEDO
State : OH
Zip : 43613-4700
Country : US
Telephone Number : 419-471-9240
Fax Number : 419-471-9458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2017
Last Update Date : 04/28/2017

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