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NPI Code Detail

MEDICARE: MOLLIE A PULLINS PHARMD,RPH

MEDICARE:   MOLLIE A PULLINS  PHARMD,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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS41196FL

General Provider Information

NPI Number : 1952540494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLIE A PULLINS PHARMD,RPH
Provider Business Mailing Address
First Line : 7101 KINGFISHER ST
Second Line :
City : TAMPA
State : FL
Zip : 33621-5013
Country : US
Telephone Number : 813-828-2219
Fax Number :
Provider Business Practice Location Address
First Line : 7101 KINGFISHER ST
Second Line :
City : TAMPA
State : FL
Zip : 33621-5013
Country : US
Telephone Number : 813-828-2219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2009
Last Update Date : 02/06/2009

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Directions to “ MOLLIE A PULLINS PHARMD,RPH” Practice Location

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