MEDICARE: DR. AMY ELIZABETH LANDERS 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	14249	NC

General Provider Information

NPI Number	:	1184739450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ELIZABETH LANDERS PHARM.D.

Provider Business Mailing Address
First Line	:	371 CHANNELSIDE WALKWAY UNIT 1102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-6774
Country	:	US
Telephone Number	:	813-767-5074
Fax Number	:	813-979-3661

Provider Business Practice Location Address
First Line	:	371 CHANNELSIDE WALKWAY UNIT 1102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-6774
Country	:	US
Telephone Number	:	813-767-5074
Fax Number	:	813-979-3661

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	07/19/2007

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