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NPI Code Detail

MEDICARE: Z ORANGE PHARMACY

MEDICARE: Z ORANGE PHARMACY
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
13336C0003XCommunity/Retail PharmacyPH29915FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710335971
Entity Type Code : Organization
Provider Name (Legal Business Name) : Z ORANGE PHARMACY
Provider Business Mailing Address
First Line : 7268 STATE ROAD 54
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-6124
Country : US
Telephone Number : 727-348-6439
Fax Number :
Provider Business Practice Location Address
First Line : 7268 STATE ROAD 54
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-6124
Country : US
Telephone Number : 727-348-6439
Fax Number :
Authorized Official
Title or Position : RPH/OWNER
Name : JOHN FALTAOOS
Credential :
Telephone Number : 727-348-6439
Provider Enumeration Date : 05/28/2016
Last Update Date : 05/28/2016

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Directions to “Z ORANGE PHARMACY ” Practice Location

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