Individual provider · Type 1 NPI

Larry William Pederson, R.PH., C.PH.

Pharmacist · Palatka, FL

NPI number 1023187101 Active

Practice location

1302 River St
Palatka, FL 32177-5042

Call (386) 328-0558 Map

Fax (386) 328-9443

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS0015494 (FL)
Pharmacist 183500000XPU0002781 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1023187101

Larry William Pederson, R.PH., C.PH.'s National Provider Identifier is 1023187101, issued on Nov 6, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Palatka, FL. The record was last updated on Mar 6, 2017.