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Contact Information

45 MDSS PATRICK AFB
1381 S. PATRICK DR.
45 MDSS
PATRICK AFB, FL32925-3405
 Phone: 321-494-8991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for 45 MDSS PATRICK AFB · (Female)

NPI Number 1467606384
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2008
Last updated 09/12/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # BW6120656
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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