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NPI Code Detail

MEDICARE: WEBB'S FORT MYERS PRESCRIPTION SHOP, INC.

MEDICARE: WEBB'S FORT MYERS PRESCRIPTION SHOP, INC.
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
13336C0003XCommunity/Retail Pharmacy6120FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11004908OTHERFLNABP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568575520
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEBB'S FORT MYERS PRESCRIPTION SHOP, INC.
Provider Business Mailing Address
First Line : 13195 METRO PKWY STE 3
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-4810
Country : US
Telephone Number : 239-939-0249
Fax Number : 239-936-2427
Provider Business Practice Location Address
First Line : 13195 METRO PKWY STE 3
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-4810
Country : US
Telephone Number : 239-939-0249
Fax Number : 239-936-2427
Authorized Official
Title or Position : PRESIDENT/PIC
Name : DR. RICHARD ARDEN LAWRENCE
Credential : PHARMD
Telephone Number : 239-939-0249
Provider Enumeration Date : 08/16/2006
Last Update Date : 03/07/2024

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Directions to “WEBB'S FORT MYERS PRESCRIPTION SHOP, INC. ” Practice Location

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