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NPI Code Detail

MEDICARE: CHADWICK JOHN ROSS WYNTER PHARM.D

MEDICARE: CHADWICK JOHN ROSS WYNTER PHARM.D
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS55370FL

General Provider Information

NPI Number : 1750982237
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHADWICK JOHN ROSS WYNTER PHARM.D
Provider Business Mailing Address
First Line : 1943 SW 149TH AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-4340
Country : US
Telephone Number : 954-391-3356
Fax Number :
Provider Business Practice Location Address
First Line : 1425 NE 163RD ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4624
Country : US
Telephone Number : 305-949-5451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2020
Last Update Date : 11/03/2020

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