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NPI Code Detail

MEDICARE: LAURA DALHOVER PHARMD

MEDICARE: LAURA DALHOVER 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
1183500000XPharmacistPS52734FL

General Provider Information

NPI Number : 1700281391
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA DALHOVER PHARMD
Provider Business Mailing Address
First Line : 5010 SMOKE RISE TRL APT 201
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2370
Country : US
Telephone Number : 863-255-4498
Fax Number :
Provider Business Practice Location Address
First Line : 6767 US HIGHWAY 98 N
Second Line :
City : LAKELAND
State : FL
Zip : 33809-6226
Country : US
Telephone Number : 863-859-5838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2014
Last Update Date : 10/26/2014

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Directions to “ LAURA DALHOVER PHARMD” Practice Location

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