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NPI Code Detail

MEDICARE: STEFANIE BYER

MEDICARE: STEFANIE BYER
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
1183500000XPharmacist36332SC

General Provider Information

NPI Number : 1710356894
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE BYER
Provider Business Mailing Address
First Line : 136 ISLAND WAY
Second Line :
City : FREEPORT
State : FL
Zip : 32439-5025
Country : US
Telephone Number : 803-972-1208
Fax Number :
Provider Business Practice Location Address
First Line : 1103 US HIGHWAY 331 S
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-3383
Country : US
Telephone Number : 850-951-9880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 12/17/2022

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Directions to “ STEFANIE BYER ” Practice Location

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