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NPI Code Detail

MEDICARE: DR. RUBEN DANIEL IRIZARRY PHARM.D.

MEDICARE: DR. RUBEN DANIEL IRIZARRY 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
1183500000XPharmacistPS44492FL

General Provider Information

NPI Number : 1265714646
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUBEN DANIEL IRIZARRY PHARM.D.
Provider Business Mailing Address
First Line : 705 N PEBBLE BEACH BLVD
Second Line :
City : SUN CITY CENTER
State : FL
Zip : 33573-5350
Country : US
Telephone Number : 813-634-8393
Fax Number : 813-642-9066
Provider Business Practice Location Address
First Line : 705 N PEBBLE BEACH BLVD
Second Line :
City : SUN CITY CENTER
State : FL
Zip : 33573-5350
Country : US
Telephone Number : 813-634-8393
Fax Number : 813-642-9066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 09/12/2011

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