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NPI Code Detail

MEDICARE: MEDICAL ARTS PHARMACY SERVICES

MEDICARE: MEDICAL ARTS PHARMACY SERVICES
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 PharmacyPH22434FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12010743OTHERPK

General Provider Information

NPI Number : 1609054808
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL ARTS PHARMACY SERVICES
Provider Business Mailing Address
First Line : 10412 W ATLANTIC BLVD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-5605
Country : US
Telephone Number : 954-541-8201
Fax Number : 954-827-0616
Provider Business Practice Location Address
First Line : 10412 W ATLANTIC BLVD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-5605
Country : US
Telephone Number : 954-541-8201
Fax Number : 954-827-0616
Authorized Official
Title or Position : CEO
Name : LANCELOT JAMES
Credential :
Telephone Number : 954-541-8201
Provider Enumeration Date : 02/11/2008
Last Update Date : 05/14/2015

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Directions to “MEDICAL ARTS PHARMACY SERVICES ” Practice Location

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