MEDICARE: STEVEN PROCHUT 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	PS53564	FL

General Provider Information

NPI Number	:	1760085559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN PROCHUT PHARMD

Provider Business Mailing Address
First Line	:	5432 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-3948
Country	:	US
Telephone Number	:	727-843-8645
Fax Number	:	727-843-8655

Provider Business Practice Location Address
First Line	:	5432 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-3948
Country	:	US
Telephone Number	:	727-843-8645
Fax Number	:	727-843-8655

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

Provider Enumeration Date	:	11/16/2020
Last Update Date	:	11/16/2020

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Directions to “ STEVEN PROCHUT PHARMD” Practice Location

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