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NPI Code Detail

MEDICARE: MRS. FATMEH QUIRK RPH

MEDICARE: MRS. FATMEH QUIRK 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
1183500000XPharmacistPS51440FL

General Provider Information

NPI Number : 1912322959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FATMEH QUIRK RPH
Provider Business Mailing Address
First Line : 5416 TOWN N COUNTRY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33615-4120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5416 TOWN N COUNTRY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33615-4120
Country : US
Telephone Number : 813-890-0405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2014
Last Update Date : 02/27/2014

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Directions to “ MRS. FATMEH QUIRK RPH” Practice Location

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