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NPI Code Detail

MEDICARE: EDWARD CUTRELL

MEDICARE: EDWARD CUTRELL
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
1183500000XPharmacist17055NV

General Provider Information

NPI Number : 1982987517
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD CUTRELL
Provider Business Mailing Address
First Line : 3000 VISTA BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89436-6702
Country : US
Telephone Number : 775-359-7044
Fax Number :
Provider Business Practice Location Address
First Line : 3000 VISTA BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89436-6702
Country : US
Telephone Number : 775-359-7044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ EDWARD CUTRELL ” Practice Location

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