MEDICARE: DR. JUSTIN FEIL 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	PS45146	FL
2	183500000X	Pharmacist	26023181A	IN
3	183500000X	Pharmacist	19765	CO

General Provider Information

NPI Number	:	1306110580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN FEIL PHARMD

Provider Business Mailing Address
First Line	:	1985 SHERIDAN BLVD APT 1105
Second Line	:
City	:	EDGEWATER
State	:	CO
Zip	:	80214-1325
Country	:	US
Telephone Number	:	720-274-3666
Fax Number	:

Provider Business Practice Location Address
First Line	:	3426 HANCOCK BRIDGE PKWY
Second Line	:	APT 1105
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33903-7071
Country	:	US
Telephone Number	:	239-265-9023
Fax Number	:

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

Provider Enumeration Date	:	03/06/2012
Last Update Date	:	10/12/2021

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Directions to “ DR. JUSTIN FEIL PHARMD” Practice Location

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