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NPI Code Detail

MEDICARE: DR. KYLE NEAL CAMPBELL PHARM.D.

MEDICARE:  DR. KYLE NEAL CAMPBELL  PHARM.D.
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
1183500000XPharmacistPS43295FL

General Provider Information

NPI Number : 1417133224
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE NEAL CAMPBELL PHARM.D.
Provider Business Mailing Address
First Line : 10403 LAKE GROVE DR
Second Line :
City : ODESSA
State : FL
Zip : 33556-2508
Country : US
Telephone Number : 813-541-1658
Fax Number :
Provider Business Practice Location Address
First Line : 10403 LAKE GROVE DR
Second Line :
City : ODESSA
State : FL
Zip : 33556-2508
Country : US
Telephone Number : 813-541-1658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2008
Last Update Date : 01/11/2008

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Directions to “ DR. KYLE NEAL CAMPBELL PHARM.D.” Practice Location

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