MEDICARE: CHRISTOPHER MUIR PHARMD

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	PS533320	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215309091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER MUIR PHARMD

Provider Business Mailing Address
First Line	:	12627 MEADOWSWEET LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-3444
Country	:	US
Telephone Number	:	850-933-5407
Fax Number	:	904-388-0514

Provider Business Practice Location Address
First Line	:	757 EDGEWOOD AVE N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-3013
Country	:	US
Telephone Number	:	904-388-0514
Fax Number	:	904-388-2596

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

Provider Enumeration Date	:	10/20/2015
Last Update Date	:	10/20/2015

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Directions to “ CHRISTOPHER MUIR PHARMD” Practice Location

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