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NPI Code Detail

MEDICARE: MRS. MEDA SMITH WEBB

MEDICARE: MRS. MEDA SMITH WEBB
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
1183500000XPharmacistPS27913FL

General Provider Information

NPI Number : 1568671063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEDA SMITH WEBB
Provider Business Mailing Address
First Line : 142 SUMMER BREEZE RD
Second Line :
City : PANAMA CITY BEACH
State : FL
Zip : 32413-6032
Country : US
Telephone Number : 850-249-0199
Fax Number :
Provider Business Practice Location Address
First Line : 2533 THOMAS DR
Second Line :
City : PANAMA CITY BEACH
State : FL
Zip : 32408-6252
Country : US
Telephone Number : 850-235-3200
Fax Number : 850-234-2341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MEDA SMITH WEBB ” Practice Location

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