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NPI Code Detail

MEDICARE: MRS. DENA K PERRY RPH

MEDICARE: MRS. DENA K PERRY 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
1183500000XPharmacistPS60609FL
2183500000XPharmacist12441KS

General Provider Information

NPI Number : 1730163080
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENA K PERRY RPH
Provider Business Mailing Address
First Line : 3410 NW 4TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-5638
Country : US
Telephone Number : 316-734-4058
Fax Number :
Provider Business Practice Location Address
First Line : 16000 N CLEVELAND AVE
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-2107
Country : US
Telephone Number : 239-656-3419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 10/02/2025

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