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NPI Code Detail

MEDICARE: MR. DARREN SCHRECK

MEDICARE: MR. DARREN SCHRECK
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
1183500000XPharmacist26020321AIN

General Provider Information

NPI Number : 1821371816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DARREN SCHRECK
Provider Business Mailing Address
First Line : 8404 STAND RIDGE RUN
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-6262
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9030 US HIGHWAY 24 W
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-4752
Country : US
Telephone Number : 260-432-7413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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