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NPI Code Detail

MEDICARE: SCOTT A DYEN RPH

MEDICARE: SCOTT A DYEN 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
1183500000XPharmacist32582FL

General Provider Information

NPI Number : 1396028049
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT A DYEN RPH
Provider Business Mailing Address
First Line : 5205 RED BUG LAKE RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4911
Country : US
Telephone Number : 407-696-2242
Fax Number : 407-696-5697
Provider Business Practice Location Address
First Line : 5205 RED BUG LAKE RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4911
Country : US
Telephone Number : 407-696-2242
Fax Number : 407-696-5697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ SCOTT A DYEN RPH” Practice Location

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