MEDICARE: MS. SAUNDRA ROBINSON MORENE 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
1	183500000X	Pharmacist	PS0015473	FL

General Provider Information

NPI Number	:	1629167838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAUNDRA ROBINSON MORENE RPH

Provider Business Mailing Address
First Line	:	3005 RHONE CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-2463
Country	:	US
Telephone Number	:	904-765-5716
Fax Number	:

Provider Business Practice Location Address
First Line	:	3005 RHONE CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-2463
Country	:	US
Telephone Number	:	904-765-5716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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