Individual provider · Type 1 NPI

Kenneth Medley, D.C. RPH

Pharmacist · Deland, FL

NPI number 1376877100 Active

Practice location

120 E New York Ave Ste D
Deland, FL 32724-5527

Fax (386) 873-2991

Mailing address

902 Lake Lindley Dr S
Deland, FL 32724-2565

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XCH9522 (FL)
Pharmacist Primary 183500000XPS0021792 (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 1376877100

Kenneth Medley, D.C. RPH's National Provider Identifier is 1376877100, issued on Sep 26, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Deland, FL. The record was last updated on Jan 31, 2013.