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NPI Code Detail

MEDICARE: THOMAS J SCOTT RPH

MEDICARE: THOMAS J SCOTT 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
1183500000XPharmacistPS23794FL

General Provider Information

NPI Number : 1134400153
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS J SCOTT RPH
Provider Business Mailing Address
First Line : 4608 E MICHIGAN ST
Second Line :
City : ORLANDO
State : FL
Zip : 32812-5233
Country : US
Telephone Number : 407-281-7499
Fax Number : 407-380-7813
Provider Business Practice Location Address
First Line : 4608 E MICHIGAN ST
Second Line :
City : ORLANDO
State : FL
Zip : 32812-5233
Country : US
Telephone Number : 407-281-7499
Fax Number : 407-380-7813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2011
Last Update Date : 09/03/2011

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