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NPI Code Detail

MEDICARE: MRS. CYNTHIA MARIE KOVACH PHARMD

MEDICARE: MRS. CYNTHIA MARIE KOVACH 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
1183500000XPharmacistPS40519FL
2183500000XPharmacist02002205737VA
3183500000XPharmacistRP0006503WV

General Provider Information

NPI Number : 1427327600
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA MARIE KOVACH PHARMD
Provider Business Mailing Address
First Line : 6370 BAYSHORE RD
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33917-3137
Country : US
Telephone Number : 239-656-1424
Fax Number : 239-543-5704
Provider Business Practice Location Address
First Line : 6370 BAYSHORE RD
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33917-3137
Country : US
Telephone Number : 239-656-1424
Fax Number : 239-543-5704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2011
Last Update Date : 12/21/2011

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Directions to “ MRS. CYNTHIA MARIE KOVACH PHARMD” Practice Location

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