=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841537867
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEBRA TROUTEN R.PH.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2013
-----------------------------------------------------
Last Update Date | 01/10/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3610 N HIGHWAY 27
-----------------------------------------------------
City | SEBRING
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33870-1691
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-385-5523
-----------------------------------------------------
Fax | 863-385-4855
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3610 N HIGHWAY 27
-----------------------------------------------------
City | SEBRING
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33870-1691
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-385-5523
-----------------------------------------------------
Fax | 863-385-4855
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PS18913
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------