MEDICARE: DR. JACQUELINE ANNE FUTCH 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
1	183500000X	Pharmacist	PA37625	FL

General Provider Information

NPI Number	:	1710089669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELINE ANNE FUTCH PHARMD

Provider Business Mailing Address
First Line	:	12500 OLD GRADE RD
Second Line	:
City	:	POLK CITY
State	:	FL
Zip	:	33868-9595
Country	:	US
Telephone Number	:	863-984-4723
Fax Number	:	863-984-9631

Provider Business Practice Location Address
First Line	:	108 N COMMONWEALTH AVE
Second Line	:
City	:	POLK CITY
State	:	FL
Zip	:	33868
Country	:	US
Telephone Number	:	863-984-3427
Fax Number	:	863-984-9631

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

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1508887159 — MS. CAROLYN A. CHENOWITH OTR/L
Practice Location Address:

7053 TALL PINE RD
POLK CITY, FL
33868

Practice Phone: 863-712-1452
Practice Fax:

1982708004 — MITHRAN GODFREY CABOT
Practice Location Address:

308 LAKESHORE DR
POLK CITY, FL
33868-9194

Practice Phone: 386-585-0293
Practice Fax:

1417040486 — POLK CITY PHARMACY INC
Practice Location Address:

108 N COMMONWEALTH AVE
POLK CITY, FL
33868-9506

Practice Phone: 863-984-3427
Practice Fax: 863-984-9631

1316160005 — MS. JACQUELINE YVONNE WILLIAMS LCSW
Practice Location Address:

3800 BIG BEND TRL
POLK CITY, FL
33868-3001

Practice Phone: 863-984-6383
Practice Fax: 863-984-6383

1821205436 — MRS. JENNIFER JEAN FRIDDLE PTA
Practice Location Address:

6982 BERKLEY RD
POLK CITY, FL
33868-3714

Practice Phone: 863-984-7343
Practice Fax:

1730363722 — MISS SHARON LEE KAIN PTA
Practice Location Address:

452 CLEARWATER LAKE DR
POLK CITY, FL
33868-9085

Practice Phone: 352-615-3404
Practice Fax:

Directions to “ DR. JACQUELINE ANNE FUTCH PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.