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NPI Code Detail

MEDICARE: SHERRYL JUMAN RPH

MEDICARE: SHERRYL JUMAN 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
1183500000XPharmacistPS36170FL

General Provider Information

NPI Number : 1518238013
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRYL JUMAN RPH
Provider Business Mailing Address
First Line : 897 SAXON BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8204
Country : US
Telephone Number : 386-775-5336
Fax Number : 386-775-8956
Provider Business Practice Location Address
First Line : 897 SAXON BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8204
Country : US
Telephone Number : 386-775-5336
Fax Number : 386-775-8956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2012
Last Update Date : 01/16/2012

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