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NPI Code Detail

MEDICARE: BRANDIE ARVAY

MEDICARE:   BRANDIE  ARVAY
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
1183500000XPharmacistPS51029FL

General Provider Information

NPI Number : 1811319452
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDIE ARVAY
Provider Business Mailing Address
First Line : 2310 TAMIAMI TRL
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-5932
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2310 TAMIAMI TRL
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-5932
Country : US
Telephone Number : 941-575-6369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2014
Last Update Date : 01/16/2014

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Directions to “ BRANDIE ARVAY ” Practice Location

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