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NPI Code Detail

MEDICARE: CAREN WRIGHT-MAGNE RPH

MEDICARE: CAREN WRIGHT-MAGNE 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
1183500000XPharmacistPS23574FL

General Provider Information

NPI Number : 1841573417
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAREN WRIGHT-MAGNE RPH
Provider Business Mailing Address
First Line : 2992 SW ROSETTA ST
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34953-4256
Country : US
Telephone Number : 772-336-8806
Fax Number :
Provider Business Practice Location Address
First Line : 1705 US HIGHWAY 1
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5544
Country : US
Telephone Number : 772-569-4141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ CAREN WRIGHT-MAGNE RPH” Practice Location

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