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NPI Code Detail

MEDICARE: DR. SCOTT BOSWELL MUNGER PHARMD

MEDICARE:  DR. SCOTT BOSWELL MUNGER  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
1183500000XPharmacistPS43610FL

General Provider Information

NPI Number : 1760082218
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT BOSWELL MUNGER PHARMD
Provider Business Mailing Address
First Line : 12740 FRANK DR S
Second Line :
City : SEMINOLE
State : FL
Zip : 33776-1726
Country : US
Telephone Number : 352-262-2428
Fax Number :
Provider Business Practice Location Address
First Line : 41232 US HIGHWAY 19 N
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-5106
Country : US
Telephone Number : 727-940-9295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

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Directions to “ DR. SCOTT BOSWELL MUNGER PHARMD” Practice Location

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