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NPI Code Detail

MEDICARE: MARIA LOVELLA B SALES

MEDICARE:   MARIA LOVELLA B SALES
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
1183500000XPharmacistPS51444FL

General Provider Information

NPI Number : 1023611779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LOVELLA B SALES
Provider Business Mailing Address
First Line : 2082 AMNESTY DR
Second Line :
City : NORTH PORT
State : FL
Zip : 34288-2887
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4478 TAMIAMI TRL
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33980-2931
Country : US
Telephone Number : 941-235-1120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 11/17/2020

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Directions to “ MARIA LOVELLA B SALES ” Practice Location

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