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NPI Code Detail

MEDICARE: MRS. ASHLEY DRIDI PHARMD

MEDICARE: MRS. ASHLEY DRIDI 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
1183500000XPharmacistPS54154FL

General Provider Information

NPI Number : 1487095014
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY DRIDI PHARMD
Provider Business Mailing Address
First Line : 10155 MONTAGUE ST
Second Line : #2902
City : TAMPA
State : FL
Zip : 33626-1857
Country : US
Telephone Number : 727-565-3347
Fax Number :
Provider Business Practice Location Address
First Line : 10155 MONTAGUE ST
Second Line :
City : TAMPA
State : FL
Zip : 33626-1857
Country : US
Telephone Number : 727-565-3347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2013
Last Update Date : 09/23/2015

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Directions to “ MRS. ASHLEY DRIDI PHARMD” Practice Location

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