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NPI Code Detail

MEDICARE: DR. BRIAN SKILES PHARM.D.

MEDICARE: DR. BRIAN SKILES 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
1183500000XPharmacistPS47851FL

General Provider Information

NPI Number : 1215215462
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN SKILES PHARM.D.
Provider Business Mailing Address
First Line : 9525 CROSSHILL BLVD
Second Line : T-2233
City : JACKSONVILLE
State : FL
Zip : 32222-5812
Country : US
Telephone Number : 904-248-4367
Fax Number :
Provider Business Practice Location Address
First Line : 9525 CROSSHILL BLVD
Second Line : T-2233
City : JACKSONVILLE
State : FL
Zip : 32222-5812
Country : US
Telephone Number : 904-248-4367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2011
Last Update Date : 02/14/2014

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