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NPI Code Detail

MEDICARE: CATHERINE SCANLON PHARM.D.

MEDICARE: CATHERINE SCANLON 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
1183500000XPharmacistPS49883FL

General Provider Information

NPI Number : 1467797399
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE SCANLON PHARM.D.
Provider Business Mailing Address
First Line : 3300 PUBLIX CORPORATE PKWY
Second Line :
City : LAKELAND
State : FL
Zip : 33811-3311
Country : US
Telephone Number : 863-688-1188
Fax Number :
Provider Business Practice Location Address
First Line : 3300 PUBLIX CORPORATE PKWY
Second Line :
City : LAKELAND
State : FL
Zip : 33811-3311
Country : US
Telephone Number : 863-688-1188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2012
Last Update Date : 12/04/2012

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