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NPI Code Detail

MEDICARE: CHEN OEUR PHARMACIST

MEDICARE: CHEN OEUR PHARMACIST
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
1183500000XPharmacistPS38476ZZ

General Provider Information

NPI Number : 1962787861
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEN OEUR PHARMACIST
Provider Business Mailing Address
First Line : 8987 BENSALEM DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-5397
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6006 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2702
Country : US
Telephone Number : 904-727-6626
Fax Number : 904-727-9890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2011
Last Update Date : 10/12/2011

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Directions to “ CHEN OEUR PHARMACIST” Practice Location

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