MEDICARE: DR. EDONA ASLLANAJ POWERS PHARMD

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
1	183500000X	Pharmacist	PS57053	FL

General Provider Information

NPI Number	:	1588175715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDONA ASLLANAJ POWERS PHARMD

Provider Business Mailing Address
First Line	:	1120 E TWIGGS ST UNIT 457
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3126
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 E TWIGGS ST UNIT 457
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3126
Country	:	US
Telephone Number	:	904-562-9019
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2017
Last Update Date	:	10/15/2017

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