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NPI Code Detail

MEDICARE: ANDREA NICOLE FLOYD PHARMD

MEDICARE:   ANDREA NICOLE FLOYD  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
1183500000XPharmacist74574CA

General Provider Information

NPI Number : 1376996025
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA NICOLE FLOYD PHARMD
Provider Business Mailing Address
First Line : 7340 TIMBERLINE WAY
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30087-5332
Country : US
Telephone Number : 404-909-0405
Fax Number :
Provider Business Practice Location Address
First Line : 3628 E IMPERIAL HWY STE 102
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-2600
Country : US
Telephone Number : 310-637-2006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2016
Last Update Date : 07/18/2016

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Directions to “ ANDREA NICOLE FLOYD PHARMD” Practice Location

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