MEDICARE: DR. MICHAEL OSBORNE CHAFFMAN PHARM.D.

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	1835P1200X	Pharmacotherapy Pharmacist	PS37378	FL

General Provider Information

NPI Number	:	1003806647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL OSBORNE CHAFFMAN PHARM.D.

Provider Business Mailing Address
First Line	:	PO BOX 5005
Second Line	:	VA MEDICAL CENTER
City	:	BAY PINES
State	:	FL
Zip	:	33744-5005
Country	:	US
Telephone Number	:	727-398-6661
Fax Number	:	727-398-9506

Provider Business Practice Location Address
First Line	:	10000 BAY PINES BLVD
Second Line	:	VA MEDICAL CENTER
City	:	BAY PINES
State	:	FL
Zip	:	33744-5005
Country	:	US
Telephone Number	:	727-398-6661
Fax Number	:	727-398-9506

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	01/18/2012

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