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NPI Code Detail

MEDICARE: DR. ERICA NICHOLE PHILLIPS PHARMD

MEDICARE: DR. ERICA NICHOLE PHILLIPS 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
1183500000XPharmacistPS46776FL

General Provider Information

NPI Number : 1083951941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERICA NICHOLE PHILLIPS PHARMD
Provider Business Mailing Address
First Line : 5881 N UNIVERSITY DR
Second Line :
City : TAMARAC
State : FL
Zip : 33321-4618
Country : US
Telephone Number : 954-721-8026
Fax Number : 954-720-3406
Provider Business Practice Location Address
First Line : 5881 N UNIVERSITY DR
Second Line :
City : TAMARAC
State : FL
Zip : 33321-4618
Country : US
Telephone Number : 954-721-8026
Fax Number : 954-720-3406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2013
Last Update Date : 01/12/2013

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