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NPI Code Detail

MEDICARE: MARLA CHIRIBOGA RPH

MEDICARE:   MARLA  CHIRIBOGA  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
1183500000XPharmacistPS 24268FL

General Provider Information

NPI Number : 1467799536
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLA CHIRIBOGA RPH
Provider Business Mailing Address
First Line : 2871 CLAYTON CROSSING WAY
Second Line :
City : OVIEDO
State : FL
Zip : 32765-3426
Country : US
Telephone Number : 407-673-2317
Fax Number : 407-673-3775
Provider Business Practice Location Address
First Line : 2871 CLAYTON CROSSING WAY
Second Line :
City : OVIEDO
State : FL
Zip : 32765-3426
Country : US
Telephone Number : 407-673-2317
Fax Number : 407-673-3775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2013
Last Update Date : 01/09/2013

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Directions to “ MARLA CHIRIBOGA RPH” Practice Location

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