MEDICARE: ERIC CHAPMAN

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	PS63287	FL

General Provider Information

NPI Number	:	1679245260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC CHAPMAN

Provider Business Mailing Address
First Line	:	1024 SHADOWMOSS CIR
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4440
Country	:	US
Telephone Number	:	407-625-5160
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 S STATE ROAD 434
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3858
Country	:	US
Telephone Number	:	407-774-6255
Fax Number	:

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

Provider Enumeration Date	:	10/01/2021
Last Update Date	:	10/01/2021

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Directions to “ ERIC CHAPMAN ” Practice Location

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