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NPI Code Detail

MEDICARE: LILLYBELL RODRIGUEZ PHARM D.

MEDICARE: LILLYBELL RODRIGUEZ 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
1183500000XPharmacistPS42038FL

General Provider Information

NPI Number : 1205251741
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLYBELL RODRIGUEZ PHARM D.
Provider Business Mailing Address
First Line : 3839 PLEASANT HILL RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-2952
Country : US
Telephone Number : 407-343-7878
Fax Number :
Provider Business Practice Location Address
First Line : 3839 PLEASANT HILL RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-2952
Country : US
Telephone Number : 407-343-7878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2014
Last Update Date : 02/20/2014

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