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NPI Code Detail

MEDICARE: DR. JOHN EDWARD MEADORS PHARM. D.

MEDICARE:  DR. JOHN EDWARD MEADORS  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
1183500000XPharmacistPS35646FL
2183500000XPharmacistRPH018941GA

General Provider Information

NPI Number : 1649551755
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN EDWARD MEADORS PHARM. D.
Provider Business Mailing Address
First Line : 330 S ORLANDO AVE
Second Line :
City : MAITLAND
State : FL
Zip : 32751-5606
Country : US
Telephone Number : 407-629-4669
Fax Number :
Provider Business Practice Location Address
First Line : 330 S ORLANDO AVE
Second Line :
City : MAITLAND
State : FL
Zip : 32751-5606
Country : US
Telephone Number : 407-629-4669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 09/01/2011

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Directions to “ DR. JOHN EDWARD MEADORS PHARM. D.” Practice Location

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