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NPI Code Detail

MEDICARE: TODD ERWIN VETTER RPH

MEDICARE: TODD ERWIN VETTER 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
1183500000XPharmacistS012571AZ

General Provider Information

NPI Number : 1821303629
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD ERWIN VETTER RPH
Provider Business Mailing Address
First Line : 1919 N DOBSON RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-2237
Country : US
Telephone Number : 480-899-6713
Fax Number :
Provider Business Practice Location Address
First Line : 1919 N DOBSON RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-2237
Country : US
Telephone Number : 480-899-6713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2010
Last Update Date : 08/17/2010

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Directions to “ TODD ERWIN VETTER RPH” Practice Location

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