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NPI Code Detail

MEDICARE: PATRICIA SPIKER RPH

MEDICARE: PATRICIA SPIKER 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
1183500000XPharmacistPS31341FL

General Provider Information

NPI Number : 1639452246
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA SPIKER RPH
Provider Business Mailing Address
First Line : 2816 CLUBHOUSE DR
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-9595
Country : US
Telephone Number : 813-966-2988
Fax Number :
Provider Business Practice Location Address
First Line : 311 E MEMORIAL BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33801-1766
Country : US
Telephone Number : 863-688-1386
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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Directions to “ PATRICIA SPIKER RPH” Practice Location

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