MEDICARE: DR. STEVEN PAUL LUDLOW RPH, 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
1	1835X0200X	Oncology Pharmacist	PS40609	FL

General Provider Information

NPI Number	:	1417956913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN PAUL LUDLOW RPH, PHARMD

Provider Business Mailing Address
First Line	:	12902 USF MAGNOLIA DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-9416
Country	:	US
Telephone Number	:	813-745-3080
Fax Number	:

Provider Business Practice Location Address
First Line	:	12902 USF MAGNOLIA DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-9416
Country	:	US
Telephone Number	:	813-745-3080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	04/04/2010

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