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NPI Code Detail

MEDICARE: CULPEPPER HARRELL, INC

MEDICARE: CULPEPPER HARRELL, INC
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
1333600000XPharmacyPH6820FL

General Provider Information

NPI Number : 1801873682
Entity Type Code : Organization
Provider Name (Legal Business Name) : CULPEPPER HARRELL, INC
Provider Business Mailing Address
First Line : 610 ZEAGLER DR
Second Line :
City : PALATKA
State : FL
Zip : 32177-3811
Country : US
Telephone Number : 386-325-2096
Fax Number : 386-312-0466
Provider Business Practice Location Address
First Line : 610 ZEAGLER DR
Second Line :
City : PALATKA
State : FL
Zip : 32177-3811
Country : US
Telephone Number : 386-325-2096
Fax Number : 386-312-0466
Authorized Official
Title or Position : V.P.
Name : MRS. PATRICIA LONG
Credential :
Telephone Number : 386-698-3737
Provider Enumeration Date : 12/22/2005
Last Update Date : 09/19/2007

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Directions to “CULPEPPER HARRELL, INC ” Practice Location

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