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NPI Code Detail

MEDICARE: SHIRLEY PEEPLES MCCARTY RPH

MEDICARE: SHIRLEY PEEPLES MCCARTY RPH
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
1183500000XPharmacistPS18492FL
2183500000XPharmacist24829TX

General Provider Information

NPI Number : 1396920179
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY PEEPLES MCCARTY RPH
Provider Business Mailing Address
First Line : 13435 MCCALL RD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33981-6422
Country : US
Telephone Number : 941-697-7826
Fax Number : 941-697-7826
Provider Business Practice Location Address
First Line : 13435 MCCALL RD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33981-6422
Country : US
Telephone Number : 941-697-7826
Fax Number : 941-697-7826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2007
Last Update Date : 12/30/2007

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Directions to “ SHIRLEY PEEPLES MCCARTY RPH” Practice Location

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