Unknown Individual – Pharmacist, NPI 1891807111
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1900, Park Forest Boulevard, Mount Dora, Lake County, Florida, 32757, United States
MOUNT DORA, FL 327576919
Phone: (352) 735-4765
Fax: (353) 735-4765
Type: Mailing
Winn-Dixie, 450, East Burleigh Boulevard, Tavares, Lake County, Florida, 32778, United States
TAVARES, FL 327785257
Phone: (352) 343-6436
Fax: (352) 343-7064
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32757)
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