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NPI Code Detail

MEDICARE: KAYTLIN CASEY PHARMD

MEDICARE:   KAYTLIN  CASEY  PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist30664NC

General Provider Information

NPI Number : 1912678939
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYTLIN CASEY PHARMD
Provider Business Mailing Address
First Line : 2694 BAKERS CHAPEL RD
Second Line :
City : SMITHFIELD
State : NC
Zip : 27577-8648
Country : US
Telephone Number : 919-920-1380
Fax Number :
Provider Business Practice Location Address
First Line : 2120 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1722
Country : US
Telephone Number : 919-734-3534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 09/21/2021

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Directions to “ KAYTLIN CASEY PHARMD” Practice Location

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