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NPI Code Detail

MEDICARE: SHAHD HAMED RPH

MEDICARE:   SHAHD  HAMED  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
1183500000XPharmacistPS68414FL

General Provider Information

NPI Number : 1689474215
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHD HAMED RPH
Provider Business Mailing Address
First Line : 1550 SE FLORESTA DR
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34983-4069
Country : US
Telephone Number : 772-340-4142
Fax Number :
Provider Business Practice Location Address
First Line : 1550 SE FLORESTA DR
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34983-4069
Country : US
Telephone Number : 772-340-4142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2025
Last Update Date : 03/13/2025

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Directions to “ SHAHD HAMED RPH” Practice Location

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