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NPI Code Detail

MEDICARE: MRS. DILIA E CARRASQUILLO RPH

MEDICARE: MRS. DILIA E CARRASQUILLO 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
1183500000XPharmacist25081FL

General Provider Information

NPI Number : 1497025233
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DILIA E CARRASQUILLO RPH
Provider Business Mailing Address
First Line : 198 EASTSIDE LANE
Second Line :
City : OSTEEN
State : FL
Zip : 32764
Country : US
Telephone Number : 386-837-7343
Fax Number :
Provider Business Practice Location Address
First Line : 897 SAXON BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8204
Country : US
Telephone Number : 386-775-5336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2012
Last Update Date : 01/11/2012

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Directions to “ MRS. DILIA E CARRASQUILLO RPH” Practice Location

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