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NPI Code Detail

MEDICARE: RICHARD JONATHAN FLOR

MEDICARE: RICHARD JONATHAN FLOR
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
1183500000XPharmacist81580CA

General Provider Information

NPI Number : 1679111561
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD JONATHAN FLOR
Provider Business Mailing Address
First Line : 915 W MORRISON AVE APT 89
Second Line :
City : SANTA MARIA
State : CA
Zip : 93458-6024
Country : US
Telephone Number : 310-349-7340
Fax Number :
Provider Business Practice Location Address
First Line : 1830 N BROADWAY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-1449
Country : US
Telephone Number : 805-348-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 12/11/2019

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Directions to “ RICHARD JONATHAN FLOR ” Practice Location

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