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NPI Code Detail

MEDICARE: KATELYN TON

MEDICARE: KATELYN TON
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
1183500000XPharmacistPS37901FL
2183500000XPharmacist74536CA
3183500000XPharmacist6007TX

General Provider Information

NPI Number : 1366789257
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN TON
Provider Business Mailing Address
First Line : 1773 S CAMROSE ST
Second Line :
City : ANAHEIM
State : CA
Zip : 92802-2401
Country : US
Telephone Number : 727-244-4647
Fax Number :
Provider Business Practice Location Address
First Line : 3825 E BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33771-1936
Country : US
Telephone Number : 727-538-8718
Fax Number : 727-538-8729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2013
Last Update Date : 04/07/2016

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Directions to “ KATELYN TON ” Practice Location

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