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NPI Code Detail

MEDICARE: MS. PEGGY JOY CANLER

MEDICARE: MS. PEGGY JOY CANLER
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
1183500000XPharmacist8446KY

General Provider Information

NPI Number : 1265411904
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PEGGY JOY CANLER
Provider Business Mailing Address
First Line : 1470 SATURN WAY
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42104-7583
Country : US
Telephone Number : 270-792-5094
Fax Number :
Provider Business Practice Location Address
First Line : 2900 N COMMERCE PKWY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3959
Country : US
Telephone Number : 786-362-8208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 09/13/2023

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Directions to “ MS. PEGGY JOY CANLER ” Practice Location

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