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NPI Code Detail

MEDICARE: GERALD KNOX SHIPLEY RPH

MEDICARE: GERALD KNOX SHIPLEY 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
1183500000XPharmacistPH15780FL

General Provider Information

NPI Number : 1831221316
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD KNOX SHIPLEY RPH
Provider Business Mailing Address
First Line : 13732 PINE VILLA LN
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-1618
Country : US
Telephone Number : 239-481-1701
Fax Number : 239-481-0151
Provider Business Practice Location Address
First Line : 9371 CYPRESS LAKE DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4939
Country : US
Telephone Number : 238-481-7322
Fax Number : 239-481-0151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2007
Last Update Date : 07/08/2007

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Directions to “ GERALD KNOX SHIPLEY RPH” Practice Location

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