MEDICARE: QIUXIA ZHAO RPH

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
1	183500000X	Pharmacist	PS36564	FL

General Provider Information

NPI Number	:	1851994644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QIUXIA ZHAO RPH

Provider Business Mailing Address
First Line	:	13400 S CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13400 S CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3833
Country	:	US
Telephone Number	:	239-489-3338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2020
Last Update Date	:	11/16/2020

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Directions to “ QIUXIA ZHAO RPH” Practice Location

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