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NPI Code Detail

MEDICARE: NATALIE DEHANEY PHARMD

MEDICARE: NATALIE DEHANEY 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
1183500000XPharmacistPS62780FL

General Provider Information

NPI Number : 1134894454
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE DEHANEY PHARMD
Provider Business Mailing Address
First Line : 9706 BEVERLY DR
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-4731
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5450 E BUSCH BLVD
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-5418
Country : US
Telephone Number : 813-980-6634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2021
Last Update Date : 08/10/2021

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Directions to “ NATALIE DEHANEY PHARMD” Practice Location

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