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NPI Code Detail

MEDICARE: MR. DEREK FIRLEJCZYK RPH.

MEDICARE:  MR. DEREK  FIRLEJCZYK  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
1183500000XPharmacistPS37563FL
2183500000XPharmacistPH22782MA
3183500000XPharmacistS011113AZ

General Provider Information

NPI Number : 1801118500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DEREK FIRLEJCZYK RPH.
Provider Business Mailing Address
First Line : 5400 E BUSCH BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33617-5418
Country : US
Telephone Number : 813-985-7479
Fax Number :
Provider Business Practice Location Address
First Line : 5400 E BUSCH BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33617-5418
Country : US
Telephone Number : 813-985-7479
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2010
Last Update Date : 02/22/2010

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Directions to “ MR. DEREK FIRLEJCZYK RPH.” Practice Location

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