MEDICARE: DR. MEILEE JACQUELINE CULVER 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	183500000X	Pharmacist	PS42781	FL

General Provider Information

NPI Number	:	1104035989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEILEE JACQUELINE CULVER PHARM D.

Provider Business Mailing Address
First Line	:	531 S DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-4444
Country	:	US
Telephone Number	:	561-547-9233
Fax Number	:

Provider Business Practice Location Address
First Line	:	531 S DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-4444
Country	:	US
Telephone Number	:	561-547-9233
Fax Number	:

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	05/04/2021

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