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NPI Code Detail

MEDICARE: SUSAN SEADON R.PH.

MEDICARE: SUSAN SEADON R.PH.
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
1183500000XPharmacistPS 17613FL

General Provider Information

NPI Number : 1851674634
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN SEADON R.PH.
Provider Business Mailing Address
First Line : 5755 20TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32966-4636
Country : US
Telephone Number : 772-778-1772
Fax Number :
Provider Business Practice Location Address
First Line : 5755 20TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32966-4636
Country : US
Telephone Number : 772-778-1772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2011
Last Update Date : 09/27/2011

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Directions to “ SUSAN SEADON R.PH.” Practice Location

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