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NPI Code Detail

MEDICARE: GRACE PESTINGER PHARM D

MEDICARE: GRACE PESTINGER PHARM D
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
1183500000XPharmacist1-14869KS

General Provider Information

NPI Number : 1972910727
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE PESTINGER PHARM D
Provider Business Mailing Address
First Line : 3975 POWELL RD
Second Line :
City : POWELL
State : OH
Zip : 43065-7979
Country : US
Telephone Number : 614-889-5257
Fax Number :
Provider Business Practice Location Address
First Line : 3975 POWELL RD
Second Line :
City : POWELL
State : OH
Zip : 43065-7979
Country : US
Telephone Number : 614-889-5257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 05/13/2026

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Directions to “ GRACE PESTINGER PHARM D” Practice Location

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