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NPI Code Detail

MEDICARE: MICHAEL NOLAND YORK RPH

MEDICARE: MICHAEL NOLAND YORK RPH
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
1183500000XPharmacistPS64647FL

General Provider Information

NPI Number : 1215655741
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL NOLAND YORK RPH
Provider Business Mailing Address
First Line : 3741 DUFF RD
Second Line :
City : LAKELAND
State : FL
Zip : 33810-4718
Country : US
Telephone Number : 813-735-4391
Fax Number :
Provider Business Practice Location Address
First Line : 6767 US HIGHWAY 98 N
Second Line :
City : LAKELAND
State : FL
Zip : 33809-6226
Country : US
Telephone Number : 863-859-5838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2022
Last Update Date : 08/19/2022

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