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NPI Code Detail

MEDICARE: DANIL LIBIN PHARM D

MEDICARE: DANIL LIBIN PHARM D
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
1183500000XPharmacistPS47811FL

General Provider Information

NPI Number : 1588002810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIL LIBIN PHARM D
Provider Business Mailing Address
First Line : 1218 BRAD THOMAS DR
Second Line :
City : GULF BREEZE
State : FL
Zip : 32563-2571
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5998 MOBILE HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-1873
Country : US
Telephone Number : 850-941-8157
Fax Number : 850-941-8163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2013
Last Update Date : 06/09/2013

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Directions to “ DANIL LIBIN PHARM D” Practice Location

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