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NPI Code Detail

MEDICARE: MARIELA PENA NAPOLES RPH

MEDICARE:   MARIELA  PENA NAPOLES  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
1183500000XPharmacistPS63210FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS63210OTHERFLPHARMACIST LICENSE

General Provider Information

NPI Number : 1528737707
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIELA PENA NAPOLES RPH
Provider Business Mailing Address
First Line : 4957 EASTWOOD GREENS ST UNIT 201
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-3744
Country : US
Telephone Number : 786-512-2571
Fax Number :
Provider Business Practice Location Address
First Line : 7950 DANI DR STE 200
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-8012
Country : US
Telephone Number : 239-936-3969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2021
Last Update Date : 09/10/2021

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Directions to “ MARIELA PENA NAPOLES RPH” Practice Location

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