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NPI Code Detail

MEDICARE: MR. JOSEPH G. YOUSSEF RPH

MEDICARE: MR. JOSEPH G. YOUSSEF 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
1183500000XPharmacistPS36187FL
2183500000XPharmacist046509-1NY
3183500000XPharmacist12291TN

General Provider Information

NPI Number : 1598048928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH G. YOUSSEF RPH
Provider Business Mailing Address
First Line : 4020 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-2472
Country : US
Telephone Number : 321-254-7803
Fax Number :
Provider Business Practice Location Address
First Line : 4020 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-2472
Country : US
Telephone Number : 321-254-7803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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