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NPI Code Detail

MEDICARE: DOLLY M BIECK RPH

MEDICARE: DOLLY M BIECK 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
1183500000XPharmacistPS38146FL
2183500000XPharmacist800140WI

General Provider Information

NPI Number : 1780954669
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOLLY M BIECK RPH
Provider Business Mailing Address
First Line : 5800 BEE RIDGE RD
Second Line :
City : SARASOTA
State : FL
Zip : 34233-5067
Country : US
Telephone Number : 941-377-1589
Fax Number : 941-379-3507
Provider Business Practice Location Address
First Line : 5800 BEE RIDGE RD
Second Line :
City : SARASOTA
State : FL
Zip : 34233-5067
Country : US
Telephone Number : 941-377-1589
Fax Number : 941-379-3507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2012
Last Update Date : 01/09/2012

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