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NPI Code Detail

MEDICARE: DR. STEVEN RYAN TU PHARMD

MEDICARE: DR. STEVEN RYAN TU 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
1183500000XPharmacistPS56608FL

General Provider Information

NPI Number : 1336663525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN RYAN TU PHARMD
Provider Business Mailing Address
First Line : 259 HERNANDO RD
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-1027
Country : US
Telephone Number : 863-521-2197
Fax Number :
Provider Business Practice Location Address
First Line : 7450 CYPRESS GARDENS BLVD
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-6200
Country : US
Telephone Number : 863-318-0252
Fax Number : 863-318-0282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2017
Last Update Date : 07/28/2017

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