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NPI Code Detail

MEDICARE: DR. SAMANTHA MARIE QUIGLEY RPH, PHARMD

MEDICARE: DR. SAMANTHA MARIE QUIGLEY RPH, PHARMD
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
1183500000XPharmacistPS59451FL

General Provider Information

NPI Number : 1932756582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMANTHA MARIE QUIGLEY RPH, PHARMD
Provider Business Mailing Address
First Line : 221 83RD AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33702-3735
Country : US
Telephone Number : 386-871-7830
Fax Number :
Provider Business Practice Location Address
First Line : 5767 38TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33710-1925
Country : US
Telephone Number : 727-345-7917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2019
Last Update Date : 08/19/2019

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