MEDICARE: MARIA SIKKING UHLER 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	PS48866	FL

General Provider Information

NPI Number	:	1336262823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA SIKKING UHLER PHARMD

Provider Business Mailing Address
First Line	:	1555 PORT MALABAR BLVD NE STE 101
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-5407
Country	:	US
Telephone Number	:	321-725-7188
Fax Number	:	321-728-1333

Provider Business Practice Location Address
First Line	:	1555 PORT MALABAR BLVD NE STE 101
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-5407
Country	:	US
Telephone Number	:	321-725-7188
Fax Number	:	321-728-1333

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	02/03/2021

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