MEDICARE: PAUL KLINGER 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
1	183500000X	Pharmacist	PS22456	FL

General Provider Information

NPI Number	:	1740571132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL KLINGER RPH

Provider Business Mailing Address
First Line	:	3972 TOWN CENTER BLVD
Second Line	:	PUBLIX PHARMACY
City	:	ORLANDO
State	:	FL
Zip	:	32837
Country	:	US
Telephone Number	:	407-850-4361
Fax Number	:

Provider Business Practice Location Address
First Line	:	3972 TOWN CENTER BLVD
Second Line	:	PUBLIX PHARMACY
City	:	ORLANDO
State	:	FL
Zip	:	32837-6103
Country	:	US
Telephone Number	:	407-850-4361
Fax Number	:

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

Provider Enumeration Date	:	04/20/2011
Last Update Date	:	04/20/2011

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