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NPI Code Detail

MEDICARE: DR. CHERYL HARRIS ROUSE PHARM.D.

MEDICARE:  DR. CHERYL HARRIS ROUSE  PHARM.D.
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
1183500000XPharmacistPS24871FL

General Provider Information

NPI Number : 1760890065
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERYL HARRIS ROUSE PHARM.D.
Provider Business Mailing Address
First Line : 927 S GOLDWYN AVE
Second Line : SUITE 111
City : ORLANDO
State : FL
Zip : 32805-4324
Country : US
Telephone Number : 407-295-6201
Fax Number :
Provider Business Practice Location Address
First Line : 927 S GOLDWYN AVE
Second Line : SUITE 111
City : ORLANDO
State : FL
Zip : 32805-4324
Country : US
Telephone Number : 407-295-6201
Fax Number : 407-295-0306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2014
Last Update Date : 07/30/2014

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