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MRS. KATHLEEN ANN TALLMADGE
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1568731263
Individual Registrant:MRS. KATHLEEN ANN TALLMADGE
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
103 INDIAN ROCKS RD S BELLEAIR BLUFFS, FL 33770-4018 US
Tel: 727-585-2095 Fax: 727-584-6976
Tel: 727-585-2095 Fax: 727-584-6976
Contact information for business:
103 INDIAN ROCKS RD S BELLEAIR BLUFFS, FL 33770-4018 US
Tel: 727-585-2095 Fax: 727-584-6976
Tel: 727-585-2095 Fax: 727-584-6976
Registration Information:
NPI: 1568731263
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS29970 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
