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NPI Code Detail

MEDICARE: MRS. GRETCHEN M MCDOWELL RPH

MEDICARE: MRS. GRETCHEN M MCDOWELL 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
1183500000XPharmacistPS21661FL

General Provider Information

NPI Number : 1497927586
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GRETCHEN M MCDOWELL RPH
Provider Business Mailing Address
First Line : 100 TECHNOLOGY PARK
Second Line : SUITE 155
City : LAKE MARY
State : FL
Zip : 32746
Country : US
Telephone Number : 877-453-4566
Fax Number : 866-537-0877
Provider Business Practice Location Address
First Line : 100 TECHNOLOGY PARK STE 155
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-6205
Country : US
Telephone Number : 877-453-4566
Fax Number : 866-537-0877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2008
Last Update Date : 03/28/2008

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