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NPI Code Detail

MEDICARE: MANDY BARRETT PHARMD

MEDICARE: MANDY BARRETT PHARMD
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
1183500000XPharmacistPS48016FL

General Provider Information

NPI Number : 1629348628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDY BARRETT PHARMD
Provider Business Mailing Address
First Line : 2237 W NINE MILE ROAD
Second Line :
City : PENSACOLA
State : FL
Zip : 32534
Country : US
Telephone Number : 850-473-0286
Fax Number :
Provider Business Practice Location Address
First Line : 2237 W NINE MILE RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32534-9416
Country : US
Telephone Number : 850-473-0286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 01/06/2012

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