MEDICARE: MR. NAVEEN KUMAR PALARAPU 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
1	183500000X	Pharmacist	PS41940	FL

General Provider Information

NPI Number	:	1154758381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NAVEEN KUMAR PALARAPU RPH

Provider Business Mailing Address
First Line	:	463688 SR 200 STE #6
Second Line	:
City	:	YULEE
State	:	FL
Zip	:	32097
Country	:	US
Telephone Number	:	904-432-3810
Fax Number	:

Provider Business Practice Location Address
First Line	:	463688 STATE ROAD 200 STE 6
Second Line	:
City	:	YULEE
State	:	FL
Zip	:	32097-0304
Country	:	US
Telephone Number	:	904-432-3810
Fax Number	:

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

Provider Enumeration Date	:	10/02/2013
Last Update Date	:	10/02/2013

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