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NPI Code Detail

MEDICARE: DR. SAMANTHA TAYLOR PRITCHARD PHARMD

MEDICARE: DR. SAMANTHA TAYLOR PRITCHARD 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
1183500000XPharmacist5302415411MI

General Provider Information

NPI Number : 1962185264
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMANTHA TAYLOR PRITCHARD PHARMD
Provider Business Mailing Address
First Line : 253 BENDON RD
Second Line :
City : INTERLOCHEN
State : MI
Zip : 49643-9698
Country : US
Telephone Number : 989-274-9986
Fax Number :
Provider Business Practice Location Address
First Line : 1029 S M 37
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-8508
Country : US
Telephone Number : 231-943-3147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2023
Last Update Date : 08/11/2023

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