MEDICARE: DR. CHRISTOPHER B HANLEY PHARM.D.

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
1	183500000X	Pharmacist	PS61346	FL

General Provider Information

NPI Number	:	1972115160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER B HANLEY PHARM.D.

Provider Business Mailing Address
First Line	:	9188 SONOMA COAST DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-8456
Country	:	US
Telephone Number	:	561-707-0063
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 E HIGHWAY 50
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-1914
Country	:	US
Telephone Number	:	352-243-7030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	08/23/2022

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