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NPI Code Detail

MEDICARE: ALEXANDRIA BARTLEY

MEDICARE: ALEXANDRIA BARTLEY
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
1183500000XPharmacistPS63172FL

General Provider Information

NPI Number : 1801565676
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA BARTLEY
Provider Business Mailing Address
First Line : 410 OLD POLK CITY RD
Second Line :
City : LAKELAND
State : FL
Zip : 33809-2314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 OLD POLK CITY RD
Second Line :
City : LAKELAND
State : FL
Zip : 33809-2314
Country : US
Telephone Number : 863-815-3373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2021
Last Update Date : 09/07/2021

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Directions to “ ALEXANDRIA BARTLEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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