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NPI Code Detail

MEDICARE: MRS. KATHLEEN SUTHERLAND RPH, BS

MEDICARE:  MRS. KATHLEEN  SUTHERLAND  RPH, BS
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
1183500000XPharmacistPS38205FL
2183500000XPharmacistRPH04074RI

General Provider Information

NPI Number : 1447459391
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN SUTHERLAND RPH, BS
Provider Business Mailing Address
First Line : 4478 TAMIAMI TRL
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33980-2931
Country : US
Telephone Number : 941-235-1120
Fax Number : 941-235-1853
Provider Business Practice Location Address
First Line : 4478 TAMIAMI TRL
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33980-2931
Country : US
Telephone Number : 941-235-1120
Fax Number : 941-235-1853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 10/14/2011

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Directions to “ MRS. KATHLEEN SUTHERLAND RPH, BS” Practice Location

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